Individual
MS. MELODY TRUMBULL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701003446
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945263
—
VA
01
—
175070
ANTHEM
VA
Enumeration date
02/06/2006
Last updated
11/05/2019
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