Individual
GEORGIA A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
36600 N PIMA RD, SUITE 203, CAREFREE, AZ 85377
(402) 617-0450
(480) 203-2190
Mailing address
PO BOX 27272, SCOTTSDALE, AZ 85255-0137
(402) 617-0450
(480) 203-2190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14576
AZ
101YM0800X
Mental Health Counselor
2058
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36008
MIDLANDS CHOICE
NE
05
—
47083791626
—
NE
01
—
84282
BLUE CROSS/BLUE SHIELD
NE
Enumeration date
10/20/2006
Last updated
08/07/2014
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