Nichole-Danielle Visnick, LPCC

Individual provider Active NPI Mental Health Counselor · Ray, MI

NPI 1982279006 · NPPES record last updated Apr 12, 2024

Key facts

NPI
1982279006
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
11685 (CA)
Practice address
64902 Wolcott Rd
Ray, MI 48096-2444
Phone
(615) 945-0679
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11685CAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11685 CA Yes

Addresses

Primary practice location

64902 Wolcott Rd
Ray, MI 48096-2444

Mailing address

64902 Wolcott Rd
Ray, MI 48096-2444
Phone (615) 945-0679

Other providers in Ray, MI

All providers in Ray, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.