Individual
NICOLE HERDOIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
127 N LAFAYETTE ST, SOUTH LYON, MI 48178-1210
(248) 573-7417
Mailing address
127 N LAFAYETTE ST, SOUTH LYON, MI 48178-1210
(248) 573-7417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023188
MI
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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