Individual
MRS. MELANIE ANNE RACEY BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1644
WV
101YP2500X
Professional Counselor
LC3123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721524
BCBS
WV
Enumeration date
11/20/2006
Last updated
07/19/2018
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