Individual
ALISA K NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
20956 MACK AVE, GROSSE POINTE WOODS, MI 48236-1355
(586) 457-0286
Mailing address
20956 MACK AVE, GROSSE POINTE WOODS, MI 48236-1355
(586) 457-0286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301012556
MI
103T00000X
Psychologist
Primary
6361005321
MI
Other
Enumeration date
08/16/2006
Last updated
03/03/2026
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