Individual
SAMUEL MICHAEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 BARCELONA CT, BIRMINGHAM, AL 35209-3304
(256) 601-6148
Mailing address
724 BARCELONA CT, BIRMINGHAM, AL 35209-3304
(256) 601-6148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ALC04528
AL
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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