Individual
NICOLE CANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
7777 W SOUTH RIVER DR, GRANT, MI 49327-8933
(716) 913-8101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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