Individual
NIKKITA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W PONCE DE LEON AVE STE 300, DECATUR, GA 30030-2481
(770) 609-6976
(404) 506-9302
Mailing address
315 W PONCE DE LEON AVE STE 300, DECATUR, GA 30030-2481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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