Provider Demographics
NPI:1881811255
Name:CHIRICH, MELISSA (LPC, CAADC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:CHIRICH
Suffix:
Gender:F
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 S LINDEN RD STE 8
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3455
Mailing Address - Country:US
Mailing Address - Phone:810-877-6343
Mailing Address - Fax:
Practice Address - Street 1:1134 S LINDEN RD STE 8
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3455
Practice Address - Country:US
Practice Address - Phone:810-877-6343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)