Individual
MRS. MELISSA EVANS SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
123 AMHERST ST, WINCHESTER, VA 22601-4137
(540) 665-2803
(540) 662-1848
Mailing address
123 AMHERST ST, WINCHESTER, VA 22601-4137
(540) 662-2803
(540) 662-1848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087956M
SENTARA/COM. HEALTH/SOUTH
VA
01
—
289179
ANTHEM
VA
Enumeration date
10/04/2006
Last updated
07/08/2007
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