Individual
MELANIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2002 BREMO RD, RICHMOND, VA 23226-2400
(804) 908-2385
Mailing address
2900 KENSINGTON AVE, APT 214, RICHMOND, VA 23221-2473
(804) 908-2385
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006497
VA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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