Individual
NICOLE RYLIE MORINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC, CYMHS
Contact information
Practice address
31600 TELEGRAPH RD STE 230, BINGHAM FARMS, MI 48025-4372
(248) 723-9200
(248) 723-9218
Mailing address
31600 TELEGRAPH RD STE 230, BINGHAM FARMS, MI 48025-4372
(248) 723-9200
(248) 723-9218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018570
MI
101YM0800X
Mental Health Counselor
6401018570
MI
101YP2500X
Professional Counselor
6401018570
MI
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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