Individual
DEBRA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DARBY CREEK WAY, PRESCOTT, AZ 86301-4413
(928) 710-3962
Mailing address
121 DARBY CREEK WAY, PRESCOTT, AZ 86301-4413
(928) 710-3962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
506
AZ
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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