Individual
ELIZABETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 HIGH ST, BELFAST, ME 04915
(207) 338-1070
Mailing address
118 HIGH ST, BELFAST, ME 04915
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC2308
ME
101YP2500X
Professional Counselor
Primary
CC1725
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265700099
—
ME
Enumeration date
01/28/2009
Last updated
01/28/2009
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