Individual
ASHLEY MARIE ROSE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6800 INDIANA AVE STE 130, RIVERSIDE, CA 92506-4266
(951) 977-3638
Mailing address
PO BOX 563, WALLACE, CA 95254-0563
(510) 414-2444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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