Organization
CAROLE NELSON LPC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE NELSON (LPC)
(229) 560-8213
Entity
Organization
Contact information
Practice address
3350 NOBLE WAY STE B, VALDOSTA, GA 31605-7410
(229) 333-0300
(229) 333-0306
Mailing address
2804 WILLOW WOOD CIR, VALDOSTA, GA 31602-4107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
637715003A
—
GA
Enumeration date
04/04/2013
Last updated
04/04/2013
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