Individual
LERRLYN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17101 ALBION ST, DETROIT, MI 48234-3808
(313) 515-5380
Mailing address
18833 DWYER ST, DETROIT, MI 48234-2607
(313) 515-5380
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
18563
FL
101YP2500X
Professional Counselor
Primary
18563
FL
103TC0700X
Clinical Psychologist
18563
FL
Other
Enumeration date
08/01/2016
Last updated
07/13/2025
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