MEDICARE: ABIGAIL MARCELLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0704018772	VA

General Provider Information

NPI Number	:	1427911270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL MARCELLE

Provider Business Mailing Address
First Line	:	207 N ROWLAND ST APT A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-3429
Country	:	US
Telephone Number	:	518-729-0921
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 N ARTHUR ASHE BLVD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4304
Country	:	US
Telephone Number	:	703-249-9890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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