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Individual

ISIAH DANIEL NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLC

Contact information

Practice address
22511 TELEGRAPH RD, SOUTHFIELD, MI 48033-4115
(248) 266-1271
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
(248) 620-6405

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451024808
MI
101YP2500X
Professional Counselor
Primary
6451024808
MI

Other

Enumeration date
02/17/2026
Last updated
02/20/2026
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