Individual
ANNIKA LYN NELSON TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LLPC
Contact information
Practice address
794 PINE ST, MUSKEGON, MI 49442-1020
(616) 843-0781
Mailing address
590 PLYMOUTH DR, NORTH MUSKEGON, MI 49445-2855
(616) 843-0781
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024718
MI
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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