Individual
MS. MELISSA JANE HANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
109 S 4TH ST STE 2, WILLIAMSBURG, KY 40769-1221
(606) 304-7994
Mailing address
74 FALIN LN, WILLIAMSBURG, KY 40769-1791
(606) 304-7994
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
242650
KY
101YP2500X
Professional Counselor
4786
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242650
STATE LICENSE
KY
05
—
7100566260
—
KY
01
—
LPC4786
STATE LICENSE
TN
05
—
Q047626
—
TN
Enumeration date
02/15/2016
Last updated
07/11/2024
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