Individual
SARA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24303 WALNUT ST STE 1, NEWHALL, CA 91321-2901
(661) 410-6313
Mailing address
14019 AZTEC ST, SYLMAR, CA 91342-4102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC10473
CA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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