Individual
MR. LAURENCE RICARDO NELSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-D
Contact information
Practice address
29 FLORENCE ST, CLAWSON, MI 48017-2129
(248) 259-9181
Mailing address
29 FLORENCE ST, CLAWSON, MI 48017-2129
(248) 259-9181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-D/MCBAP
MI
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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