Individual
ADA RUTH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
18434 N 99TH AVE STE 8, SUN CITY, AZ 85373-1672
(623) 248-4104
(623) 248-4943
Mailing address
4440 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3529
(504) 361-6500
(504) 361-6489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
423
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-155255
AZ
104100000X
Social Worker
9400
LA
Other
Enumeration date
01/10/2007
Last updated
01/18/2024
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