Individual
MELISSA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 367-0469
Mailing address
304 N GAINSBOROUGH AVE, ROYAL OAK, MI 48067-1937
(904) 599-6281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
MI
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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