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Individual

MR. BRIAN JAMES NASSAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
44725 GRAND RIVER AVE STE 104, NOVI, MI 48375-1024
(517) 492-0784
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 213-1803

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
6401018208
MI
101YP2500X
Professional Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401018208
LPC
MI
Enumeration date
04/25/2007
Last updated
01/28/2025
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