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MR. NICHOLAS JONATHON CHAMPINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLPC

Contact information

Practice address
30101 HOOVER RD, WARREN, MI 48093-6572
(585) 588-6868
Mailing address
30101 HOOVER RD, WARREN, MI 48093-6572
(586) 558-6868

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017093
MI

Other

Enumeration date
07/14/2022
Last updated
07/14/2022
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