Individual provider · Type 1 NPI
Mellisa Gail Douglas, M.ED, LPC
Counselor · Fishersville, VA
NPI number
1720194681
Active
Practice location
71 Wilson Blvd Ste A1
Fishersville, VA 22939-2283
Fax (540) 886-7380
Mailing address
1302 Burnsville Rd
Williamsville, VA 24487-2148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 17005 (TX) |
| Counselor Primary | 101Y00000X | 0701004135 (VA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
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About NPI 1720194681
Mellisa Gail Douglas, M.ED, LPC's National Provider Identifier is 1720194681, issued on Aug 22, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fishersville, VA. The record was last updated on Dec 2, 2013.