Individual
MELISSA E TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21351 GENTRY DR STE 200, STERLING, VA 20166-8512
(443) 283-3975
Mailing address
1955 CASCADES RD, BLACKSBURG, VA 24060-0175
(443) 283-3975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013858
VA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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