Nicole Douglass, MA, LPC

NPI 1215623467 · on the registry since 2023 · sole proprietor

Practice

Address: 816 E Michigan Ave Ste 103
Paw Paw, MI 49079
Phone: (269) 815-8169
Organisation at this address: Community Healing Center
Center For Change & Growth Plc
Kanaan Therapy And Behavioral Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan