Individual
MELANIE BARISO AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
401 GRESHAM DR, NORFOLK, VA 23507
(757) 668-4673
Mailing address
850 SOUTHAMPTON AVE, NORFOLK, VA 23510-1021
(757) 668-5470
(757) 668-8870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013286
VA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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