Individual
JASON M. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
105A CEDAR ROCK TRACE, SUITE 5, ATHENS, GA 30605
(706) 548-8697
(706) 548-8698
Mailing address
1041 CREEK FARM RUN, BOGART, GA 30622-2791
(706) 612-4947
(706) 548-8698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3266
GA
Other
Enumeration date
01/15/2014
Last updated
02/02/2023
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