Provider Information for 1548472749
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NADINE MARIE COLLIER M.A., LPC
Sex: Female
NPI: 1548472749
Last Updated: 2019-09-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1548472749 | ||||||||||||
| Enumeration Date | 2007-05-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 719 LAKE DR NORTH MUSKEGON, MI 49445-2830 United States Phone: 231-557-0922 | Fax: | ||||||||||||
| Primary Practice Address | 719 LAKE DR NORTH MUSKEGON, MI 49445-2830 United States Phone: 231-557-0922 | Fax: | ||||||||||||
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