Individual
MS. AMY MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-6670
(904) 642-9100
(904) 642-9108
Mailing address
7015 WOODWARD RD, ST AUGUSTINE, FL 32092-9674
(904) 343-8657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9003
FL
104100000X
Social Worker
MH9003
FL
Other
Enumeration date
02/08/2007
Last updated
11/17/2015
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