Individual
DEBORAH ANN KANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1536 CATHERINE ST, WILLIAMSPORT, PA 17701-2518
(570) 321-7860
Mailing address
1536 CATHERINE ST, WILLIAMSPORT, PA 17701-2518
(570) 321-7860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3803
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013628760001
—
PA
Enumeration date
03/28/2017
Last updated
03/28/2017
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