Individual
NICHOLAS A BERNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
18090 MACK AVE, GROSSE POINTE, MI 48230-6251
(313) 590-6339
Mailing address
18090 MACK AVE, GROSSE POINTE, MI 48230-6251
(313) 590-6339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012641
MI
Other
Enumeration date
10/01/2011
Last updated
05/16/2014
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