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Mellisa Gail Douglas, MED,LPC
Counselor in Fishersville, Virginia
NPI 1720194681

Mellisa Gail Douglas is a Counselor based in Williamsville, VA. Mellisa Gail Douglas practices in Fishersville, VA and has the professional credentials of MED,LPC. The NPI Number for Mellisa Gail Douglas is 1720194681 and holds a License No. 17005 (Virginia).

The current practice location address for Mellisa Gail Douglas is 71 Wilson Blvd Ste A1, Fishersville, VA and can be reached out via phone at 540-949-4202 and via fax at 540-886-7380.

Location: 71 Wilson Blvd Ste A1, Fishersville, VA, 24487-2148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720194681
Provider Name
Mellisa Gail Douglas
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
71 Wilson Blvd Ste A1, Fishersville, VA, 24487-2148
Phone Number
540-949-4202
Fax Number
540-886-7380
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
162090801 05 TX
institution
Provider Business Practice Location Address Details
Address
71 Wilson Blvd Ste A1
City
Fishersville
State
Virginia
Zip
22939-2283
Phone Number
540-949-4202
Fax Number
540-886-7380
person
Provider Business Mailing Address Details
Address
71 Wilson Blvd Ste A1
City
Fishersville
State
Virginia
Zip
22939-2283
Phone Number
540-949-4202
Fax Number
540-886-7380
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0701004135 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
17005 (Texas)
Definition
Definition to come...
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