Provider Demographics
NPI:1952763757
Name:HINOJOSA, NICOLE SAVAGE (LPC)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:SAVAGE
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:RAE
Other - Last Name:SAVAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:183 E MARYKNOLL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-1954
Mailing Address - Country:US
Mailing Address - Phone:248-390-2485
Mailing Address - Fax:
Practice Address - Street 1:183 E MARYKNOLL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1954
Practice Address - Country:US
Practice Address - Phone:248-270-5180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013933101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional