Individual
MS. DAVISON SARAI NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4370 CHICAGO DR SW, GRANDVILLE, MI 49418-1694
(269) 215-1454
Mailing address
1116 JACKSON STREET, KALAMAZOO, MI 49001
(269) 215-1454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401012436
MI
101YP2500X
Professional Counselor
Primary
6401019337
MI
Other
Enumeration date
08/02/2012
Last updated
01/16/2024
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