Individual
MRS. ASHLIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5929 N MAY AVE STE 304, OKLAHOMA CITY, OK 73112-3910
(405) 314-2920
(405) 286-0362
Mailing address
1933 NW 39TH ST, OKLAHOMA CITY, OK 73118-2611
(405) 314-2920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6527
OK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6527
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114430A
—
OK
Enumeration date
06/21/2012
Last updated
11/20/2018
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