Individual provider · Type 1 NPI

Courtney Lace Anne Nichols

Addiction (Substance Use Disorder) Counselor · Corunna, MI

NPI number 1669366597 Active

Practice location

211 N Shiawassee St Ste A
Corunna, MI 48817-1444

Call (989) 928-3566 Map

Mailing address

158 Meadowwood Ln Apt 70
Chesaning, MI 48616-1176

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669366597

Courtney Lace Anne Nichols's National Provider Identifier is 1669366597, issued on Jun 5, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Corunna, MI. The record was last updated on Jun 5, 2025.