Individual
MELAINA NEYER GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11160-C1 SOUTH LAKES DR., #144, RESTON, VA 20191
(571) 377-8683
(859) 578-3273
Mailing address
11160-C1 SOUTH LAKES DR., #144, RESTON, VA 20191
(571) 377-8683
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001599
VA
106H00000X
Marriage & Family Therapist
240382
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
01/22/2015
Last updated
12/02/2020
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