Nicholson, Carolyn J.

Nicholson, Carolyn J. is an individual health care provider with primary practice located at 20955 Virginia St Suite B, Southfield MI 48076-2381. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nicholson, Carolyn J. can be contacted via phone (248) 219-5493.

Contact Information

Primary practice address
20955 Virginia St Suite B Southfield MI 48076-2381
Phone: (248) 219-5493
Fax: (248) 354-3816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X N242108275628 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1447410071
LBN Legal business name Nicholson, Carolyn J.
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Jun 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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