Individual
MRS. MEGAN DEMALINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
216 BUSH RIVER DRIVE, FARMVILLE, VA 23901
(434) 392-3187
(434) 392-5789
Mailing address
P.O. DRAWER 248, FARMVILLE, VA 23901
(434) 392-3187
(434) 392-5789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005896
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528091063
—
VA
Enumeration date
08/07/2014
Last updated
08/07/2014
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