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Individual

COURTNEY LACE ANNE NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
211 N SHIAWASSEE ST STE A, CORUNNA, MI 48817-1444
(989) 928-3566
Mailing address
158 MEADOWWOOD LN APT 70, CHESANING, MI 48616-1176
(810) 287-1204

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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