Individual
MS. RENEE MARIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LLPC
Contact information
Practice address
5780 GREEN RD, HASLETT, MI 48840-9712
(517) 410-4063
Mailing address
5780 GREEN RD, HASLETT, MI 48840-9712
(517) 410-4063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010844
MI
Other
Enumeration date
07/11/2009
Last updated
07/11/2009
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