MEDICARE: MELANIE HANSEN LPC

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	0701014180	VA

General Provider Information

NPI Number	:	1700691441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE HANSEN LPC

Provider Business Mailing Address
First Line	:	3019 S BUCHANAN ST APT A2
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-1528
Country	:	US
Telephone Number	:	703-835-2508
Fax Number	:

Provider Business Practice Location Address
First Line	:	3019 S BUCHANAN ST APT A2
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-1528
Country	:	US
Telephone Number	:	703-835-2508
Fax Number	:

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

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	12/02/2025

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Directions to “ MELANIE HANSEN LPC” Practice Location

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