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Jonatha Nisan Nathan, LLC
Counselor in Troy, Michigan
NPI 1457113003

Jonatha Nisan Nathan is a Counselor based in Royal Oak, MI. Jonatha Nisan Nathan practices in Troy, MI and has the professional credentials of LLC. The NPI Number for Jonatha Nisan Nathan is 1457113003 and holds a License No. 6451023021 (Michigan).

The current practice location address for Jonatha Nisan Nathan is 625 E Big Beaver Rd Ste 200, Troy, MI and can be reached out via phone at 586-863-4000.

Location: 625 E Big Beaver Rd Ste 200, Troy, MI, 48067-4606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457113003
Provider Name
Jonatha Nisan Nathan
Credential
LLC
Provider Entity Type
Individual
Gender
Female
Address
625 E Big Beaver Rd Ste 200, Troy, MI, 48067-4606
Phone Number
586-863-4000
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 E Big Beaver Rd Ste 200
City
Troy
State
Michigan
Zip
48083-1434
Phone Number
586-863-4000
Fax Number
person
Provider Business Mailing Address Details
Address
625 E Big Beaver Rd Ste 200
City
Troy
State
Michigan
Zip
48083-1434
Phone Number
586-863-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6451023021 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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