Provider Demographics
NPI:1700224698
Name:PORREY, MELISSA (MA, NCC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:PORREY
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:LOFASO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:530 S ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4065
Mailing Address - Country:US
Mailing Address - Phone:202-316-0346
Mailing Address - Fax:
Practice Address - Street 1:4201 CONNECTICUT AVE NW
Practice Address - Street 2:STE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1158
Practice Address - Country:US
Practice Address - Phone:202-624-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health