Individual
MS. NICOLE MARIE WASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
308 N MAIN ST, PLYMOUTH, MI 48170-1237
(734) 255-3439
Mailing address
308 N MAIN ST, PLYMOUTH, MI 48170-1237
(734) 255-3439
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6801088289
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861171175
NPI2
MI
Enumeration date
05/21/2009
Last updated
01/30/2024
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