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Individual

MELISHA LANAY OTERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7400 BEAUFONT SPRINGS DR, SUITE 300, NORTH CHESTERFIELD, VA 23225-5556
(804) 536-0780
Mailing address
9507 HULL STREET RD STE G1, NORTH CHESTERFIELD, VA 23236-1476
(804) 536-0780
(804) 381-4605

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006962
VA

Other

Enumeration date
01/24/2017
Last updated
05/22/2019
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