Individual
OLIVIA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
4108 CRESWELL TER, HAMPSTEAD, MD 21074-2158
(443) 827-8631
Mailing address
4108 CRESWELL TER, HAMPSTEAD, MD 21074-2158
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP8747
MD
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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