Individual
MALEA NICOLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1345 MONROE AVE NW STE 332, GRAND RAPIDS, MI 49505-4673
(616) 638-6168
Mailing address
2164 PARSLOW DR, MUSKEGON, MI 49441-2784
(616) 638-6168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
6451023731
MI
101YP2500X
Professional Counselor
Primary
—
—
225700000X
Massage Therapist
7501006782
MI
Other
Enumeration date
01/17/2016
Last updated
11/18/2024
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