Individual
BIANCA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(760) 351-2800
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
97607
CA
Other
Enumeration date
07/15/2009
Last updated
01/07/2021
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