Individual
DR. MICHELLE LY NN SIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.C., N.C.C
Contact information
Practice address
1710 ALLIED ST STE 22, CHARLOTTESVILLE, VA 22903-5341
(434) 977-8877
(434) 977-8878
Mailing address
1229 DUNLORA DR, CHARLOTTESVILLE, VA 22901-0640
(434) 882-4489
(434) 977-8878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
0701002983
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5410746
—
VA
Enumeration date
08/16/2006
Last updated
06/05/2023
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