Individual
MELANIE A BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPA, LPC, LCMHC
Contact information
Practice address
3601 MILSHIRE CT, RICHMOND, VA 23233-7672
(704) 281-5801
Mailing address
3601 MILSHIRE CT, RICHMOND, VA 23233-7672
(704) 281-5801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006860
VA
103TC0700X
Clinical Psychologist
2302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017441080001
—
VA
05
—
6107248
—
NC
Enumeration date
03/06/2007
Last updated
01/17/2024
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