Individual
NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
41 WASHINGTON AVE STE 320, GRAND HAVEN, MI 49417-1378
(616) 690-5396
(616) 404-7004
Mailing address
2215 29TH ST SE STE B8A, GRAND RAPIDS, MI 49508-1565
(616) 690-5396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017587
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CV0154400
—
MI
Enumeration date
02/06/2015
Last updated
06/01/2026
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