Individual
NICOLE CLAUDINE ETHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
215 E BIG BEAVER RD STE 100, TROY, MI 48083-1216
(313) 451-3315
Mailing address
6703 MOUNTAIN DR, TROY, MI 48098-1910
(248) 752-5683
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007240
MI
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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