Individual
MRS. MELISSA A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LLMFT
Contact information
Practice address
318 E MITCHELL ST STE 7, PETOSKEY, MI 49770-2616
(231) 753-2420
(231) 753-2420
Mailing address
PO BOX 824, PETOSKEY, MI 49770-0824
(231) 753-2420
(231) 753-2420
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013422
MI
103TC1900X
Counseling Psychologist
6301015200
MI
106H00000X
Marriage & Family Therapist
4101006548
MI
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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