Individual
ANDREW PAUL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4667 TELEGRAPH RD, VENTURA, CA 93003-3872
(805) 289-6776
Mailing address
2703 HARBOR BLVD, VENTURA, CA 93001-4122
(805) 766-9405
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
108834
CA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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