MELISSA PORTIA FULLER

PORTAGE, MI
NPI1023668076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: MI  6401014638)
Additional Taxonomies101YM0800X Counselor Mental Health
(Licence: MI  6401014638)
Enumeration Date2019-09-11
Last Update Date2024-02-29
Business Address
MELISSA PORTIA FULLER LPC
7895 CURRIER DR
PORTAGE, MI 49002-4314
Phone number: 269-910-7327
Mailing Address
MELISSA PORTIA FULLER LPC
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000