Individual
DR. RENEE LORIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DBH LPC
Contact information
Practice address
4539 N 22ND ST STE 4604, PHOENIX, AZ 85016-4639
(520) 636-5505
Mailing address
4539 N 22ND ST STE 4604, PHOENIX, AZ 85016-4639
(520) 636-5505
(520) 462-8160
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-13206
AZ
101YP2500X
Professional Counselor
LPC-MN-147
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441100
—
AZ
Enumeration date
07/09/2009
Last updated
12/15/2025
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