Individual
CELESTE H. NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBS, MS, LPC
Contact information
Practice address
445 DOLLEY MADISON RD STE B, GREENSBORO, NC 27410-5166
(336) 500-9983
Mailing address
5315 BENNINGTON DR, GREENSBORO, NC 27410-3418
(336) 500-9983
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103048
—
NC
Enumeration date
09/20/2006
Last updated
03/17/2018
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