Individual
MELISSA KIMBERLY POREMBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
10 W SQUARE LAKE RD STE 302, BLOOMFIELD HILLS, MI 48302-0468
(248) 277-5353
(248) 250-5482
Mailing address
10 W SQUARE LAKE RD STE 302, BLOOMFIELD HILLS, MI 48302-0468
(248) 277-5353
(248) 250-5482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223894
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/22/2019
Last updated
09/29/2024
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