Individual
MELANIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPS
Contact information
Practice address
208 W LINCOLN ST, CHARLEVOIX, MI 49720-1336
(231) 547-1144
(231) 547-4970
Mailing address
208 W LINCOLN ST, CHARLEVOIX, MI 49720-1336
(231) 547-1144
(231) 547-4970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20151209439760
—
MI
Enumeration date
02/03/2023
Last updated
02/03/2023
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