Individual provider · NPI-1

Melanie Brezovsky, LPC

Counselor, Mental Health · Ashburn, VA

NPI number1922501535
StatusActive
Last updated in NPPESMay 19, 2020

Details

NPI
1922501535
Entity type
Individual (NPI-1)
Name
Melanie Brezovsky
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Mar 10, 2018
Certification date
May 19, 2020
Last updated
May 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health0701007458VAYes

Practice location

44075 Pipeline Plz Ste 220
Ashburn, VA 20147-5890

Phone 703-622-9559

Mailing address

23552 Epperson Sq
Brambleton, VA 20148-7425

Phone 703-622-9559

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