Individual
MELISSA C KEYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 HOPE ROAD, SUITE 213, STAFFORD, VA 22554
(540) 658-0855
(703) 368-8454
Mailing address
8140 ASHTON AVE, 200, MANASSAS, VA 20109-5698
(703) 330-9933
(703) 368-8454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710101862
VA
101YP2500X
Professional Counselor
0701005458
VA
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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