Individual
MRS. MELLANNIE ROSHELLE PORCH-DONEGHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
17117 W 9 MILE RD, SOUTHFIELD, MI 48075-4602
(248) 483-7804
Mailing address
22850 NOTTINGHAM LN, SOUTHFIELD, MI 48033-3395
(248) 416-7771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005704
MI
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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