Individual provider · Type 1 NPI

Jonatha Nisan Nathan, LLC

Counselor · Troy, MI

NPI number 1457113003 Active

Practice location

625 E Big Beaver Rd Ste 200
Troy, MI 48083-1434

Mailing address

407 Maxwell Ave
Royal Oak, MI 48067-4606

Other practice locations

  • 407 Maxwell Ave, Royal Oak, MI 48067-4606 · (917) 406-7036

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6451023021 (MI)

Counselor: 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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About NPI 1457113003

Jonatha Nisan Nathan, LLC's National Provider Identifier is 1457113003, issued on Jan 29, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Troy, MI. The record was last updated on Jan 29, 2024.