Nicole Wildeman is a Counselor based in Fenton, MI. Nicole Wildeman practices in Fenton, MI. The NPI Number for Nicole Wildeman is 1417605833 and holds a License No. (Michigan).
The current practice location address for Nicole Wildeman is 14229 Torrey Rd # 3, Fenton, MI and can be reached out via phone at 810-214-2624.
Location: 14229 Torrey Rd # 3, Fenton, MI, 48430-1058
Provider Profile Details
NPI Number
1417605833
Provider Name
Nicole Wildeman
Credential
Provider Entity Type
Individual
Gender
Female
Address
14229 Torrey Rd # 3, Fenton, MI, 48430-1058
Phone Number
810-214-2624
Fax Number
Provider Enumeration Date
03/15/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
14229 Torrey Rd # 3
City
State
Zip
48430-3308
Phone Number
810-214-2624
Fax Number
Provider Business Mailing Address Details
Address
14229 Torrey Rd # 3
City
State
Zip
48430-3308
Phone Number
810-214-2624
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
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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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