Individual
PAMELA DENISE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24901 NORTHWESTERN HWY STE 314B, SOUTHFIELD, MI 48075-2207
(313) 801-0074
Mailing address
16772 ROSEMONT AVE, DETROIT, MI 48219-4151
(313) 801-0074
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009822
MI
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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