Individual
MRS. ADRIENNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
329 MAIN RD, MONTVILLE, NJ 07045-9729
(917) 881-6431
Mailing address
2 ROBERTSON WAY, LINCOLN PARK, NJ 07035-1826
(917) 881-6431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18 002586
NY
101YP2500X
Professional Counselor
Primary
37PC00381800
NJ
Other
Enumeration date
10/31/2006
Last updated
03/26/2013
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