Individual
LAURIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
841 W BETHANY HOME RD, PHOENIX, AZ 85013-1653
(602) 377-7699
Mailing address
841 W BETHANY HOME RD, PHOENIX, AZ 85013-1653
(602) 377-7699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-22137
AZ
Other
Enumeration date
03/14/2023
Last updated
12/12/2024
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