Individual
MELISSA BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201
(313) 831-5535
(313) 831-2608
Mailing address
17940 FARMINGTON RD. SUITE 225, LIVONIA, MI 48152
(734) 221-0867
(248) 605-3525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014710
MI
101YP2500X
Professional Counselor
6401014710
MI
Other
Enumeration date
05/30/2015
Last updated
09/01/2018
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