Individual
NICK NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
75 WEST ST, DANBURY, CT 06810-6528
(203) 360-2889
(203) 332-3271
Mailing address
2660 NORTH AVE, UNIT 239, BRIDGEPORT, CT 06604-2355
(775) 250-8263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
1793
CT
106H00000X
Marriage & Family Therapist
MI0268
NV
Other
Enumeration date
11/01/2010
Last updated
07/14/2016
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