Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 0300037 |
NPI | 1003401985 |
---|---|
Provider Name | Nicole Griffiths |
First Address | Jonesville, MI 49250-1012 |
Second Address | Jonesville, MI 49250-1136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |