Nicole Fuller-Douglas

NPI #1740019561 in Ionia, Michigan

Provider Information

NPI Number: 1740019561
Entity Type: Individual
Name: Nicole Fuller-Douglas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 30, 2024
Last Updated: Jul 30, 2024

Practice Location

Address: 375 APPLE TREE DR
City: Ionia
State: Michigan
ZIP Code: 48846-7506
Phone: (616) 527-1790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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