Individual
MS. VALANDA L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM,, MT-BC, LCAS, CC
Contact information
Practice address
460 VALLIE LANE, WILMINGTON, NC 28412-2796
(910) 452-1841
Mailing address
460 VALLIE LANE, WILMINGTON, NC 28412-2796
(910) 452-1841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
736
NC
225A00000X
Music Therapist
05036
NC
Other
Enumeration date
03/05/2007
Last updated
02/29/2008
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