Individual
MRS. NICOLE ELIZABETH CHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
44444 MOUND RD, SUITE 620, STERLING HEIGHTS, MI 48314-1353
(586) 770-6790
Mailing address
44444 MOUND RD, SUITE 620, STERLING HEIGHTS, MI 48314-1353
(586) 770-6790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011569
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401011569
—
MI
Enumeration date
09/21/2011
Last updated
09/21/2011
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