Individual provider · Type 1 NPI
Melissa Tinervia, LLMSW
Addiction (Substance Use Disorder) Counselor · Jackson, MI
NPI number
1679944482
Active
Practice location
300 W Louis Glick Hwy
Jackson, MI 49201-1228
Fax (517) 796-7022
Mailing address
1121 4th St
Jackson, MI 49203-3062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 6801098502 (MI) |
| Mental Health Counselor | 101YM0800X | 6801098502 (MI) |
| Clinical Social Worker | 1041C0700X | 6801098502 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1679944482
Melissa Tinervia, LLMSW's National Provider Identifier is 1679944482, issued on Oct 20, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, MI. The record was last updated on Oct 20, 2015.