Individual
DR. NICOLE KLETZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4806
(734) 429-3734
Mailing address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4806
(734) 429-3734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301013461
MI
103TF0200X
Forensic Psychologist
6301013461
MI
Other
Enumeration date
05/14/2007
Last updated
09/30/2009
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