Individual
MRS. CYNTHIA LEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1014 E GILBERT AVE, COEUR D ALENE, ID 83815-4955
(208) 667-2392
(208) 666-1362
Mailing address
1014 E GILBERT AVE, COEUR D ALENE, ID 83815-4955
(208) 667-2392
(208) 666-1362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-4099
ID
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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