Individual
MR. JASON THOMAS MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 876-3219
Mailing address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 876-3219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013472
MI
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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