Individual
JOHN NELSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 WAYNE ST, COLUMBIA, TN 38401-4526
(931) 797-1535
Mailing address
211 WAYNE ST, COLUMBIA, TN 38401-4526
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
070121816
TN
Other
Enumeration date
11/12/2013
Last updated
10/21/2015
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