Individual
MRS. ASHANIQUE ANNELL NELSON-CAVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3393 SARDIS BEND DR, BUFORD, GA 30519-6003
(510) 918-2496
Mailing address
3393 SARDIS BEND DR, BUFORD, GA 30519-6003
(510) 918-2496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
83263
CA
1041C0700X
Clinical Social Worker
Primary
103629
CA
1041C0700X
Clinical Social Worker
CSW008997
GA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/05/2017
Last updated
03/30/2026
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