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NPI Code Detail

MEDICARE: MELISSA SUE ANN LONDRY

MEDICARE: MELISSA SUE ANN LONDRY
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
1101YP2500XProfessional Counselor0701006052VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538559588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SUE ANN LONDRY
Provider Business Mailing Address
First Line : PO BOX 1141
Second Line :
City : GALAX
State : VA
Zip : 24333-1141
Country : US
Telephone Number : 276-293-1235
Fax Number : 540-613-1831
Provider Business Practice Location Address
First Line : 210 CALHOUN ST
Second Line :
City : GALAX
State : VA
Zip : 24333-3806
Country : US
Telephone Number : 276-293-1235
Fax Number : 540-613-1831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2015
Last Update Date : 10/17/2025

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Directions to “ MELISSA SUE ANN LONDRY ” Practice Location

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