Doctor Name: | MELANIE LYNNE EDWARDS |
NPI Number: | 1164784153 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701005218 |
Business Practice Address: | 605 N Main St Culpeper, VA - 227012609 |
Business Phone Number: | 5407270770 |
Business Fax Number: | 5407277310 |
Mailing Address: | 605 N Main St, CULPEPER |
State: | VA |
Postal Code: | 227012609 |
Phone Number: | 5407270770 |
Fax Number: | 5407277310 |
NPI Enumeration Date: | 06/14/2012 |
NPI Last Update Date: | 06/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701005218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |