Doctor Name: | MELISSA A EVELETH |
NPI Number: | 1619261856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 6401008105 |
Business Practice Address: | 120 W Exchange St 300 Owosso, MI - 488672834 |
Business Phone Number: | 9897238239 |
Business Fax Number: | 9897238230 |
Mailing Address: | 729 N Dewey St, OWOSSO |
State: | MI |
Postal Code: | 488671834 |
Phone Number: | 9894138901 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2011 |
NPI Last Update Date: | 06/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401008105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |