Most Relevant Information
Provider Data
| NPI Number: | 1003546474 |
| Provider Name: | MELISSA LYNN NUGENT LGPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 1624663 |
Most Important Dates
| Enumeration Date: | 06/16/2022 |
| Last Updated: | 06/16/2022 |
Provider Practice Location
6440 DOBBIN RD STE D
COLUMBIA
MD
210454770
Practice Location Phone/Fax
| Phone: | 4107302385 |
| Fax: |
Provider Mailing Location
6440 DOBBIN RD STE D
COLUMBIA
MD
210454770
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |