Individual
MEGAN E FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004609
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945247
—
VA
01
—
C02810
MEDICARE GROUP
VA
Enumeration date
02/15/2010
Last updated
04/28/2011
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