Individual
NAFEESA HATSHEPSUT DIRUL-ISLAM-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 595-8471
(313) 989-9525
Mailing address
26951 FAIRFIELD RD, SOUTHFIELD, MI 48076-4712
(313) 207-5079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010157
MI
Other
Enumeration date
11/17/2016
Last updated
12/09/2021
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