Individual
NICOLE GLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1800 N MILFORD RD STE 100, MILFORD, MI 48381
(248) 684-6400
(248) 322-0006
Mailing address
1800 N MILFORD RD STE 100, MILFORD, MI 48381-1047
(248) 684-6400
(248) 322-0006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011225
MI
Other
Enumeration date
03/25/2013
Last updated
09/21/2018
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