Individual
DR. IVORY MELANIE MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LPC, NCC
Contact information
Practice address
900 2ND ST NE, LL-12, WASHINGTON, DC 20002-3557
(202) 832-2950
(202) 832-2951
Mailing address
900 2ND ST NE, LL-12, WASHINGTON, DC 20002-3557
(202) 832-2950
(202) 832-2951
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005585
VA
101YP2500X
Professional Counselor
PRC13802
DC
103TC0700X
Clinical Psychologist
0810007440
VA
103TC0700X
Clinical Psychologist
PSY200001474
DC
Other
Enumeration date
04/01/2014
Last updated
08/30/2023
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