Individual
NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3239 GIDDINGS AVE SE, GRAND RAPIDS, MI 49508-2578
(616) 548-1166
Mailing address
3239 GIDDINGS AVE SE, GRAND RAPIDS, MI 49508-2578
(616) 548-1166
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6401225318
MI
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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