Individual
MS. MELANIE CISLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 207-7777
(703) 653-7002
Mailing address
9837 CHESHIRE RIDGE CIR, MANASSAS, VA 20110-2791
(703) 577-4326
(703) 653-7002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008997
—
Other
Enumeration date
03/16/2020
Last updated
12/19/2023
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