| Doctor Name: | NICOLE D NASIEROWSKI |
| NPI Number: | 1134569312 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLPC |
| License Number: | 6401013731 |
| Business Practice Address: | 6900 E 10 Mile Rd Center Line, MI - 480151168 |
| Business Phone Number: | 5865013070 |
| Business Fax Number: | |
| Mailing Address: | 6900 E 10 Mile Rd, CENTER LINE |
| State: | MI |
| Postal Code: | 480151168 |
| Phone Number: | 5865013070 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2013 |
| NPI Last Update Date: | 12/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401013731 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |