Individual
ANDREA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2709 ALCATRAZ AVE, BERKELEY, CA 94705-2705
(850) 739-4703
Mailing address
PO BOX 6122, 1191 SOLANO AVE, ALBANY, CA 94706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
117912
CA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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