Individual
MS. WENDY ELIZABETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH THERAP
Contact information
Practice address
124 W 79TH ST, SUITE 1B, NEW YORK, NY 10024-6470
(212) 721-0336
Mailing address
124 W 79TH ST, SUITE 1B, NEW YORK, NY 10024-6470
(212) 721-0336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002420
NY
106H00000X
Marriage & Family Therapist
Primary
000401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401
MARRIAGE AND FAMILY THERA
NY
01
—
002420
MENTAL HEALTH THERAPIST
NY
Enumeration date
05/19/2007
Last updated
09/09/2011
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