Individual
LILLY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(800) 615-0411
Mailing address
540 THOMPSON ST # 4122, ANN ARBOR, MI 48104-2414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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