Individual
ASHLEY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 W 17TH ST, BRYAN, TX 77803-1504
(979) 739-4269
Mailing address
PO BOX 2747, BRYAN, TX 77805-2747
(979) 229-1046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14108
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
82415
TX
Other
Enumeration date
12/16/2020
Last updated
08/25/2023
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