Individual
PROF. MICHAEL R NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS., LPC, NCC
Contact information
Practice address
72 OAK MEADOWS DR, CABOT, AR 72023-3428
(501) 246-8835
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P9803006
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
05/24/2006
Last updated
01/14/2025
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