Organization
VICTORY CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANN EHART LPC, CAADC (CLINICAL SUPERVISIOR)
(517) 784-2929
Entity
Organization
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
Mailing address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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