Individual
KANDICE NICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16905 CRESTA DR, SAN DIEGO, CA 92128-2309
(858) 466-9786
Mailing address
16905 CRESTA DR, SAN DIEGO, CA 92128-2309
(858) 466-9786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14927
CA
Other
Enumeration date
07/17/2019
Last updated
06/20/2025
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