Individual
MR. MARK NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSMFT, RMFTI
Contact information
Practice address
3038 N FEDERAL HWY, FORT LAUDERDALE, FL 33306-1493
(305) 317-5596
Mailing address
PO BOX 1471, STONE MOUNTAIN, GA 30086-1471
(678) 243-0822
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT4141
FL
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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