Individual
MR. WILLIAM MICHAEL NELSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1316 SOMERVILLE RD SE, SUITE 3, DECATUR, AL 35601-4305
(256) 355-6105
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 355-6105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2484
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051540347
BCBS PROVIDER #
AL
Enumeration date
01/22/2007
Last updated
07/08/2007
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