Individual
MALEA NICOLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
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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