Individual
BROOKE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
3424 CHICAGO DR STE 205, HUDSONVILLE, MI 49426-1411
(616) 426-9034
Mailing address
3484 COPPER RIVER AVE SW, GRANDVILLE, MI 49418-8831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024500
MI
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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