Individual
HUNTER NICOLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPHA
Contact information
Practice address
329 N GENESEE ST, WAUKEGAN, IL 60085-4205
(847) 623-1730
Mailing address
329 N GENESEE ST, WAUKEGAN, IL 60085-4205
(847) 623-1730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149025494
IL
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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