Individual
MELISSA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
29532 SOUTHFIELD RD STE 115, SOUTHFIELD, MI 48076-2023
(989) 318-3027
Mailing address
29532 SOUTHFIELD RD STE 115, SOUTHFIELD, MI 48076-2023
(989) 318-3027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
TPMC4504
FL
101YP2500X
Professional Counselor
Primary
6401014170
MI
Other
Enumeration date
07/21/2014
Last updated
05/09/2024
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