Individual
NICOLE SIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33137 SCHOOLCRAFT RD, LIVONIA, MI 48150-1625
(445) 787-5096
Mailing address
38221 PLYMOUTH RD STE 10, LIVONIA, MI 48150-1051
(445) 787-5096
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6361008140
MI
Other
Enumeration date
01/25/2022
Last updated
03/17/2025
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