Individual provider · Type 1 NPI
Nichole Hawk, LLPC
Professional Counselor · Detroit, MI
NPI number
1639415417
Active
Practice location
15000 Gratiot Ave
Detroit, MI 48205-1973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401012121 (MI) |
Professional Counselor: Definition to come...
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About NPI 1639415417
Nichole Hawk, LLPC's National Provider Identifier is 1639415417, issued on Dec 23, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Dec 23, 2012.