Provider Demographics
NPI:1548472749
Name:COLLIER, NADINE MARIE (MA, LPC)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:MARIE
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-2830
Mailing Address - Country:US
Mailing Address - Phone:231-557-0922
Mailing Address - Fax:
Practice Address - Street 1:719 LAKE DR
Practice Address - Street 2:
Practice Address - City:NORTH MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49445-2830
Practice Address - Country:US
Practice Address - Phone:231-557-0922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC-0006874101YP2500X
MI6401008365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional