Individual
MELISSA MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
630 KENMOOR AVE SE STE 101A, GRAND RAPIDS, MI 49546-8626
(616) 446-8436
(616) 920-6536
Mailing address
630 KENMOOR AVE SE STE 101A, GRAND RAPIDS, MI 49546-8626
(616) 446-8436
(616) 920-6536
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301016678
MI
103TC1900X
Counseling Psychologist
6361001766
MI
Other
Enumeration date
05/11/2016
Last updated
10/04/2024
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