Individual
SEYED ABOUFAZEL HOSSEINI NASAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 WASHTENAW AVE STE 3, ANN ARBOR, MI 48104
(734) 215-5853
Mailing address
343 S MCCORD RD, HOLLAND, OH 43528-8742
(567) 702-0900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6362009752
MI
103TC0700X
Clinical Psychologist
Primary
6361008065
MI
Other
Enumeration date
03/09/2022
Last updated
06/16/2025
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