Individual
NYKEL JULIA DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 478-0087
Mailing address
20201 VAN ANTWERP ST, HARPER WOODS, MI 48225-1401
(313) 478-0087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
ALL
MI
05
—
123456789
—
MI
Enumeration date
05/31/2019
Last updated
10/25/2021
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