Individual
MRS. NICOL GRISHKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
71 WALNUT BLVD, ROCHESTER, MI 48307-2073
(586) 489-4424
Mailing address
71 WALNUT BLVD, ROCHESTER, MI 48307-2073
(586) 489-4424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222646
MI
Other
Enumeration date
07/10/2019
Last updated
08/10/2022
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