Individual
DR. NATHANAEL MARK STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP, LPC
Contact information
Practice address
650 WAVERLY RD, DIMONDALE, MI 48821-9642
(517) 507-6410
(517) 882-9969
Mailing address
2580 EATON RAPIDS RD, LANSING, MI 48911-6307
(517) 342-4253
(517) 882-9969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401010248
MI
103TC1900X
Counseling Psychologist
Primary
6301018886
MI
103TC1900X
Counseling Psychologist
Primary
6401010246
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912348475
—
MI
Enumeration date
07/12/2013
Last updated
07/01/2026
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