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Organization

INSPIRED COURAGE COUNSELING AND CONSULTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXIS MELVILLE PSY.D (CEO)
(571) 732-1122
Entity
Organization

Contact information

Practice address
10560 MAIN ST UNIT 120, FAIRFAX, VA 22030-7182
(571) 732-1122
Mailing address
4094 MAJESTIC LN UNIT 315, FAIRFAX, VA 22033-2104

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
03/14/2019
Last updated
03/14/2019
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