Individual
MELISSA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-9070
Mailing address
36425 WENDELL ST, AVON, OH 44011-4412
(440) 204-4228
(440) 233-9070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E 1100177
OH
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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