Individual
MRS. MELISSA ELLEN RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSOTP
Contact information
Practice address
13000 HARBOR CENTER DR STE 302, WOODBRIDGE, VA 22192-2847
(703) 492-2994
(703) 490-5505
Mailing address
13000 HARBOR CENTER DR STE 302, WOODBRIDGE, VA 22192-2847
(703) 492-2994
(703) 490-5505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
01/29/2019
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