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Nicole Alayna Douglass, MA,LPC
Counselor in Paw Paw, Michigan
NPI 1215623467

Nicole Alayna Douglass is a Counselor based in Mattawan, MI. Nicole Alayna Douglass practices in Paw Paw, MI and has the professional credentials of MA,LPC. The NPI Number for Nicole Alayna Douglass is 1215623467 and holds a License No. 6401020202 (Michigan).

The current practice location address for Nicole Alayna Douglass is 816 E Michigan Ave Ste 103, Paw Paw, MI and can be reached out via phone at 269-815-8169.

Location: 816 E Michigan Ave Ste 103, Paw Paw, MI, 49071-9515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215623467
Provider Name
Nicole Alayna Douglass
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
816 E Michigan Ave Ste 103, Paw Paw, MI, 49071-9515
Phone Number
269-815-8169
Fax Number
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
816 E Michigan Ave Ste 103
City
Paw Paw
State
Michigan
Zip
49079-1462
Phone Number
269-815-8169
Fax Number
person
Provider Business Mailing Address Details
Address
816 E Michigan Ave Ste 103
City
Paw Paw
State
Michigan
Zip
49079-1462
Phone Number
269-815-8169
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401020202 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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