Individual
CARLA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
9876 MAIN ST, SUITE 100, WOODSTOCK, GA 30188-3970
(770) 516-1050
Mailing address
100 WILLOW CREEK LN, APT 103, WOODSTOCK, GA 30188-7378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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