Individual
KELLY NICOLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 PARKSIDE PLACE DR, MCDONOUGH, GA 30253-9077
(404) 853-9732
Mailing address
625 PARKSIDE PLACE DR, MCDONOUGH, GA 30253-9077
(404) 853-9732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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