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Organization
SUSAN C, NELSON
Active
Organization
SUSAN C, NELSON
Active
Other names
Blue Ridge Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLLETTE NELSON L.C.S.W. (LICENSED CLINICAL SOCIAL WORKER)
(530) 647-1763
Entity
Organization
Contact information
Practice address
4535 MISSOURI FLAT RD, SUITE 200 C, PLACERVILLE, CA 95667-6846
(530) 647-1763
(530) 647-1763
Mailing address
PO BOX 1091, POLLOCK PINES, CA 95726-1091
(530) 647-1763
(530) 647-1763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS 21304
CA
Other
Enumeration date
07/26/2007
Last updated
02/23/2009
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