Individual
MELISSA TINERVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
300 W LOUIS GLICK HWY, JACKSON, MI 49201-1228
(517) 782-9905
(517) 796-7022
Mailing address
1121 4TH ST, JACKSON, MI 49203-3062
(517) 914-1924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801098502
MI
101YM0800X
Mental Health Counselor
6801098502
MI
1041C0700X
Clinical Social Worker
6801098502
MI
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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