Individual
NICOLE HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7640 DIXIE HWY STE 155, CLARKSTON, MI 48346-2095
(248) 791-9266
Mailing address
7485 WHITE LAKE RD, WHITE LAKE, MI 48383-1160
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401225433
MI
101YP2500X
Professional Counselor
PC007649
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200912175
—
PA
Enumeration date
11/19/2014
Last updated
09/15/2025
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