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Individual

NICOLE HOLWERDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 3 MILE RD NW SUITE 200, GRAND RAPIDS, MI 49544-1691
(855) 832-6727
Mailing address
1345 W EVENTIDE DR NE, GRAND RAPIDS, MI 49505-5765
(616) 808-6406

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
7401002611
MI
106S00000X
Behavior Technician

Other

Enumeration date
07/13/2021
Last updated
12/05/2025
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