Organization
A PATH TO PEACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELBA LYNETTE CLARK M.A. LPC NCC (LICENSED PROFESSIONAL COUNSELOR)
(231) 343-0630
Entity
Organization
Contact information
Practice address
1010 ANTIETAM AVE, DETROIT, MI 48207-2832
(231) 343-0630
Mailing address
9339 PINE ST, TAYLOR, MI 48180-3419
(231) 343-0630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
02/07/2020
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