Individual
TAMMY CHRISTINE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
77 DANBURY RD, SECOND FLOOR, RIDGEFIELD, CT 06877-4029
(203) 438-3007
(203) 894-1388
Mailing address
77 DANBURY RD, SECOND FLOOR, RIDGEFIELD, CT 06877-4029
(203) 438-3007
(203) 894-1388
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000234
CT
101YP2500X
Professional Counselor
Primary
001002
CT
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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