Individual
MR. ERIC DAVID NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2555 E COLORADO BLVD, SUITE 100, PASADENA, CA 91107-6622
(626) 577-2261
(626) 577-2543
Mailing address
153 N OAK KNOLL AVE, APT. 107, PASADENA, CA 91101-4101
(805) 835-5389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN868
LA COUNTY DMH
CA
Enumeration date
09/14/2009
Last updated
09/14/2009
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