Individual
MRS. MELISSA DAWN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2451 E BASELINE RD STE 430, GILBERT, AZ 85234-2473
(480) 734-3851
(480) 623-0026
Mailing address
2451 E BASELINE RD, GILBERT, AZ 85234-2471
(480) 734-3851
(480) 623-0026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10764
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308968
—
AZ
Enumeration date
09/15/2014
Last updated
09/15/2014
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