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MR. NICHOLAS J MELVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLPC

Contact information

Practice address
1360 BALDWIN ST, JENISON, MI 49428-8937
(616) 202-1910
Mailing address
6568 W MILL RUN SE, CALEDONIA, MI 49316-7861
(616) 633-0269

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451019552
MI

Other

Enumeration date
07/30/2021
Last updated
07/30/2021
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