Individual
MONECIA MICHELLE NELMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
20925 PROFESSIONAL PLAZA, SUITE #320, ASHBURN, VA 20147
(410) 382-1450
Mailing address
20925 PROFESSIONAL PLAZA, SUITE #320, ASHBURN, VA 20147
(410) 382-1450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701008587
VA
101Y00000X
Counselor
Primary
LC7481
MD
101YP2500X
Professional Counselor
LC7481
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115768500
—
MD
Enumeration date
11/19/2016
Last updated
05/28/2020
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