MS. Nicole S Ide, MA, LPC, NCC
NPI #1144942376 in Beverly Hills, Michigan
Provider Information
- NPI Number
- 1144942376
- Entity Type
- Individual
- Name
- MS. Nicole S Ide, MA, LPC, NCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA, LPC, NCC
- Enumeration Date
- Sep 14, 2022
- Last Updated
- Sep 26, 2024
Practice Location
- Address
- 31815 SOUTHFIELD RD STE 18
- City
- Beverly Hills
- State
- Michigan
- ZIP Code
- 48025-5471
- Phone
- (248) 480-0115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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