Individual
NICOLE ELIZABETH FENECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
215 E BIG BEAVER RD STE 100, TROY, MI 48083-1216
(313) 451-3315
Mailing address
215 E BIG BEAVER RD STE 100, TROY, MI 48083-1216
(313) 451-3315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022845
MI
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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