Individual
JACQUELINE NICASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
12220 E 13 MILE RD, SUITE 300, WARREN, MI 48093-5000
(586) 258-0238
(586) 258-0201
Mailing address
524 WOODLAWN AVE, ROYAL OAK, MI 48073-2823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009653
MI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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