person
Melissa A Detrie, LPC-IT
Professional Counselor in Green Bay, Wisconsin
NPI 1205525904

Melissa A Detrie is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Melissa A Detrie practices in Green Bay, WI and has the professional credentials of LPC-IT. The NPI Number for Melissa A Detrie is 1205525904 and holds a License No. (Wisconsin).

The current practice location address for Melissa A Detrie is 926 Willard Dr Ste 136, Green Bay, WI and can be reached out via phone at 920-461-5820 and via fax at 888-449-6342.

Location: 926 Willard Dr Ste 136, Green Bay, WI, 54304-5296
person
Provider Profile Details
NPI Number
1205525904
Provider Name
Melissa A Detrie
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
926 Willard Dr Ste 136, Green Bay, WI, 54304-5296
Phone Number
920-461-5820
Fax Number
888-449-6342
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
926 Willard Dr Ste 136
City
State
Zip
54304-5296
Phone Number
920-461-5820
Fax Number
888-449-6342
person
Provider Business Mailing Address Details
Address
926 Willard Dr Ste 136
City
State
Zip
54304-5296
Phone Number
920-461-5820
Fax Number
888-449-6342
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Wisconsin)
Definition
Definition to come...
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