Individual
MICHELLE MENCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 UNION AVE SE STE A, GRAND RAPIDS, MI 49507-3247
(616) 356-1934
Mailing address
2080 UNION AVE SE STE A, GRAND RAPIDS, MI 49507-3247
(616) 356-1934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6851120552
MI
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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