Individual
KATIE DANIEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 N BELAIR RD STE 2D, EVANS, GA 30809-3190
(706) 651-1260
(706) 651-1383
Mailing address
465 N BELAIR RD STE 2D, EVANS, GA 30809-3190
(706) 651-1260
(706) 651-1383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606317B
—
GA
05
—
003107424A
—
GA
Enumeration date
11/30/2006
Last updated
08/27/2024
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