Organization
KATIE NELSON, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE DANIEL NELSON LPC (PROFESSIONAL COUNSELOR)
(706) 975-6284
Entity
Organization
Contact information
Practice address
465 N BELAIR RD, STE 2D, EVANS, GA 30809-3188
(706) 651-9647
Mailing address
465 N BELAIR RD, STE 2D, EVANS, GA 30809-3188
(706) 651-9647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006115
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107424A
—
GA
Enumeration date
08/24/2011
Last updated
08/24/2011
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