Individual
NICOLE MANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
1112 ROUTE 41, SUITE 108, SCHERERVILLE, IN 46375
(773) 501-3557
Mailing address
P.O. BOX 781, SCHERERVILLE, IN 46375
(773) 501-3557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002188A
IN
106H00000X
Marriage & Family Therapist
166000798
IL
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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