Individual
MS. KATHLEEN ELIZAETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
CG602205094
WA
Other
Enumeration date
05/10/2011
Last updated
04/22/2020
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