Individual
DR. MARTY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2300 CAPITOL AVE, HATHAWAY BLDG, 3RD FLOOR, CHEYENNE, WY 82002
(307) 777-7150
(307) 777-3693
Mailing address
2300 CAPITOL AVE, HATHAWAY BLDG, 3RD FLOOR, CHEYENNE, WY 82002
(307) 777-6203
(307) 777-3693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1086
WY
Other
Enumeration date
06/04/2009
Last updated
12/02/2015
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