Individual
MRS. MELISSA PAULINE CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2460 LAKESHORE DR, SAINT JOSEPH, MI 49085-1874
(269) 982-3832
Mailing address
2460 LAKESHORE DR, SAINT JOSEPH, MI 49085-1874
(269) 982-3832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013755
MI
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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