Individual
LANCE REECE NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 961-8469
Mailing address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 961-8469
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001167
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO3501
—
VA
Enumeration date
12/11/2009
Last updated
12/11/2009
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