Individual
MR. DANIEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2217 PRINCESS ANNE ST, SUITE 325, FREDERICKSBURG, VA 22401-3353
(540) 369-3549
Mailing address
PO BOX 13, PARTLOW, VA 22534-0013
(540) 369-3549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010238242
VIRGINIA PREMIER
VA
05
—
010238242
—
VA
01
—
087779M
SENTARA
VA
01
—
188880
TRIGON
VA
Enumeration date
06/28/2006
Last updated
05/08/2014
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