Individual
MS. MELINDA JANE QUEEN ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C., N.C.C.
Contact information
Practice address
508A VILLAGE GREEN DR, MOREHEAD CITY, NC 28557-9640
(919) 593-5030
Mailing address
508A VILLAGE GREEN DR, MOREHEAD CITY, NC 28557-9640
(919) 593-5030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001396
VA
101YP2500X
Professional Counselor
Primary
3569
NC
106H00000X
Marriage & Family Therapist
0717000381
VA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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