Individual
SHEREE NIBLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
1939 DIVISION AVE. S, GRAND RAPIDS, MI 49507-2480
(616) 247-3815
(616) 245-0450
Mailing address
1939 DIVISION AVE. S, GRAND RAPIDS, MI 49507-2480
(616) 247-3815
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
06/16/2023
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