Individual
CAROLYN LANTZY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C, CAC-AD
Contact information
Practice address
222 TIMBER TRL APT D, BEL AIR, MD 21014-3147
(410) 610-7469
Mailing address
222 TIMBER TRL APT D, BEL AIR, MD 21014-3147
(410) 610-7469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC1178
MD
1041C0700X
Clinical Social Worker
Primary
12584
MD
Other
Enumeration date
10/05/2005
Last updated
10/03/2018
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