Individual
PATRICK A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 EASTERN AVE SE, GRAND RAPIDS, MI 49507-3632
(616) 988-3433
Mailing address
2400 EASTERN AVE SE, GRAND RAPIDS, MI 49507-3632
(616) 988-3433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451020840
MI
101YP2500X
Professional Counselor
Primary
6451020840
MI
Other
Enumeration date
02/07/2020
Last updated
08/05/2024
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