Individual
MELISSA PEARL WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
145 ROCHDALE DR S, ROCHESTER HILLS, MI 48309-2275
(586) 315-5454
Mailing address
38150 METRO VILLA CT UNIT 102K, HARRISON TOWNSHIP, MI 48045-5381
(313) 525-0827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017569
MI
101YS0200X
School Counselor
SC0000001003689
MI
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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