Individual
SCOTT NUISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
926 WASHINGTON AVE STE 210, HOLLAND, MI 49423-7725
(616) 820-3780
(616) 820-3785
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-03253
MI
101YM0800X
Mental Health Counselor
6401015796
MI
101YP2500X
Professional Counselor
Primary
6401015796
MI
Other
Enumeration date
06/23/2015
Last updated
04/21/2026
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