Individual
MELANIE DANCER LICENSE DANCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2222 W GRAND RIVER AVE, OKEMOS, MI 48864-1604
(517) 798-6223
Mailing address
2222 W GRAND RIVER AVE, OKEMOS, MI 48864-1604
(517) 798-6223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401008768
MI
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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