person
Melissa Wichterman
Mental Health Counselor in Grand Rapids, Michigan
NPI 1467890152

Melissa Wichterman is a Mental Health Counselor based in Grand Rapids, MI and is specialized in Mental Health. Melissa Wichterman practices in Grand Rapids, MI. The NPI Number for Melissa Wichterman is 1467890152 and holds a License No. 6401012129 (Michigan).

The current practice location address for Melissa Wichterman is 2828 Kraft Ave Se Ste 186, Grand Rapids, MI and can be reached out via phone at 616-949-9550 and via fax at 616-949-9551.

Location: 2828 Kraft Ave Se Ste 186, Grand Rapids, MI, 49512-2076
person
Provider Profile Details
NPI Number
1467890152
Provider Name
Melissa Wichterman
Credential
Provider Entity Type
Individual
Gender
Female
Address
2828 Kraft Ave Se Ste 186, Grand Rapids, MI, 49512-2076
Phone Number
616-949-9550
Fax Number
616-949-9551
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401012129 01 MI LICENSE #
institution
Provider Business Practice Location Address Details
Address
2828 Kraft Ave Se Ste 186
City
State
Zip
49512-2076
Phone Number
616-949-9550
Fax Number
616-949-9551
person
Provider Business Mailing Address Details
Address
2828 Kraft Ave Se Ste 186
City
State
Zip
49512-2076
Phone Number
616-949-9550
Fax Number
616-949-9551
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401012129 (Michigan)
Definition
Definition to come...
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