Sebastian, Nicole

Sebastian, Nicole is an individual health care provider with primary practice located at 28466 Hoover Rd Apt 1 , Warren MI 48093-5419. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Sebastian, Nicole can be contacted via phone (310) 467-6199.

Contact Information

Primary practice address
28466 Hoover Rd Apt 1 Warren MI 48093-5419
Phone: (310) 467-6199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6352000089 Michigan

Profile Details

NPI number 1447401567
LBN Legal business name Sebastian, Nicole
Credentials PSYD, CCS, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Apr 14th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447401567 NPPES
Michigan MEDICAID 500371

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