Individual
TIMOTHY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A, LLP
Contact information
Practice address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
(269) 343-1651
Mailing address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
(269) 343-1651
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301009195
MI
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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