Individual
PETRINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3855 FOOTHILLS RD STE C, LAS CRUCES, NM 88011
(575) 520-2861
(575) 652-4937
Mailing address
3855 FOOTHILLS RD STE C, LAS CRUCES, NM 88011-4772
(575) 520-2861
(575) 652-4937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2610
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2610
LPCC
NM
05
—
93688059
—
NM
Enumeration date
09/27/2007
Last updated
01/15/2020
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