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Individual

MELISSA PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., C.A.D.C.

Contact information

Practice address
4273 CORPORATE DR, MT PLEASANT, MI 48858-5321
(989) 953-4357
(989) 953-4358
Mailing address
4273 CORPORATE DR, MT PLEASANT, MI 48858-5321
(989) 953-4357
(989) 953-4358

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01431
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
LASAC-15112
AZ

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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