Individual
NIKKI O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
6777 W MAPLE RD, W BLOOMFIELD, MI 48322
(248) 661-7393
(248) 661-7924
Mailing address
6777 W MAPLE RD, W BLOOMFIELD, MI 48322-3013
(248) 661-7393
(248) 661-7924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
05/29/2018
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