Individual
MELISSA J. ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019658
MI
Other
Enumeration date
01/27/2020
Last updated
11/27/2023
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