Individual
GARY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LPC
Contact information
Practice address
8008 ROUTE 130 BLDG A, STE 206, DELRAN, NJ 08075-1869
(856) 294-8448
Mailing address
48 EDGE LN, WILLINGBORO, NJ 08046-2437
(856) 294-8448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00645200
NJ
Other
Enumeration date
11/17/2015
Last updated
12/03/2018
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