Individual provider · Type 1 NPI
Malissa Wood, MA, LLP, LPC
Professional Counselor · Shelby Township, MI
NPI number
1700979838
Active
Practice location
14067 Lakeside Blvd N
Shelby Township, MI 48315-6074
Mailing address
18964 Strongford Dr
Macomb, MI 48044-9700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401006969 (MI) |
| Counseling Psychologist | 103TC1900X | 630101724 (MI) |
Professional Counselor: Definition to come...
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About NPI 1700979838
Malissa Wood, MA, LLP, LPC's National Provider Identifier is 1700979838, issued on Oct 2, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shelby Township, MI. The record was last updated on Jul 5, 2012.