Individual
MELISSA JEAN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
140 LARKSPUR LN STE D, GALAX, VA 24333-2753
(276) 236-6341
Mailing address
140 LARKSPUR LN STE D, GALAX, VA 24333-2753
(276) 236-6341
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011113
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701011113
LPC
VA
Enumeration date
03/18/2022
Last updated
03/18/2022
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