Individual
MS. CYNTHIA SUE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5601 W GRANDE MARKET DR, SUITE M, APPLETON, WI 54913
(920) 381-0103
(866) 635-1605
Mailing address
5601 W GRANDE MARKET DR, SUITE M, APPLETON, WI 54913
(920) 381-0103
(866) 635-1605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6538-125
WI
101YP2500X
Professional Counselor
6538
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075977
—
WI
Enumeration date
03/23/2018
Last updated
09/07/2023
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