Individual
MRS. ALANA MARIA NICOLAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. LLPC
Contact information
Practice address
29203 ROAN DR, WARREN, MI 48093-3566
(586) 823-6807
Mailing address
29203 ROAN DR, WARREN, MI 48093-3566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014852
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401014852
LICENSE NUMBER
MI
Enumeration date
06/18/2015
Last updated
06/18/2015
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