Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Melissa A Detrie, LPC, SAC-IT

Individual provider Professional Counselor · NPI 1205525904

Melissa A Detrie, LPC, SAC-IT is a Professional Counselor in Green Bay, Wisconsin. Licensed in Michigan and Wisconsin. Registered with an NPI since 2023.

Licensed in
MI, WI
In the registry since
2023
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2640 W Point Rd
Green Bay, WI 54304-1344
Phone: (920) 490-3875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11880-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 6401225600 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20395-130 (WI)

Record details

NPI number1205525904
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , SAC-IT
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

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