Individual
MELANIE WHEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LSATP
Contact information
Practice address
4920 MILLRIDGE PKWY E STE 206, MIDLOTHIAN, VA 23112-4857
(804) 464-8875
Mailing address
4920 MILLRIDGE PKWY E STE 206, MIDLOTHIAN, VA 23112-4857
(804) 464-8875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000257
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336293000
—
VA
Enumeration date
12/13/2012
Last updated
06/09/2016
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