Individual
MARCELLA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 777-9369
(502) 719-8161
Mailing address
5920 WOODHAVEN RIDGE CT, FERN CREEK, KY 40291-4909
(502) 777-9369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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