Individual
MELISSA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E MAIN ST STE 1218, NORFOLK, VA 23510-2204
(757) 592-2672
Mailing address
812 SKELTON WAY, NEWPORT NEWS, VA 23608-2260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103774
VA
251S00000X
Community/Behavioral Health Agency
Primary
0701011999
VA
390200000X
Student in an Organized Health Care Education/Training Program
0704013062
VA
Other
Enumeration date
04/09/2021
Last updated
09/11/2023
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