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Individual

HOLLY THERESA NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
17255 OAK PARK AVE, TINLEY PARK, IL 60477-3401
(453) 370-8633
Mailing address
14144 W ETHEL ST, MANHATTAN, IL 60442-4400
(815) 922-2477

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178009177
IL

Other

Enumeration date
01/08/2020
Last updated
01/08/2020
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