Individual
DR. PEARL RICHARD NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LPC
Contact information
Practice address
1925 ENTERPRISE BLVD, LAKE CHARLES, LA 70601-6371
(337) 429-5129
Mailing address
1925 ENTERPRISE BLVD, LAKE CHARLES, LA 70601-6371
(337) 429-5129
(337) 214-2077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2476
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600705501
—
LA
Enumeration date
09/23/2010
Last updated
09/17/2021
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