Individual
NICOLE DEVOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
3642 ORCHARD VW, TRAVERSE CITY, MI 49684-8940
(231) 409-1276
Mailing address
1200 W 11TH ST, #217, TRAVERSE CITY, MI 49684-3287
(231) 409-1276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011969
MI
101YS0200X
School Counselor
PF0000000783549
MI
Other
Enumeration date
08/07/2014
Last updated
06/15/2015
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