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Individual

MRS. DANIELLE MARIE MELBOUCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
10409 EASTERDAY RD, MYERSVILLE, MD 21773-8620
(240) 367-9842
(720) 452-0227
Mailing address
10409 EASTERDAY RD, MYERSVILLE, MD 21773-8620
(240) 367-9842
(720) 452-0227

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2892
CO
101YP2500X
Professional Counselor
LC7408
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11365234
CAQH
CO
05
907076100
MD
Enumeration date
07/24/2006
Last updated
01/27/2025
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