Individual
MS. MELODIE WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Mailing address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018262
MI
Other
Enumeration date
11/06/2016
Last updated
04/21/2020
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