Individual
MICHELE VIDRINE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
380 COLLEGE HILL DR, BATON ROUGE, LA 70808-4943
(504) 832-4940
(504) 270-1294
Mailing address
5261 HIGHLAND RD # 199, BATON ROUGE, LA 70808-6547
(504) 832-4940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3345
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
BLUE CROSS
LA
Enumeration date
12/08/2006
Last updated
05/12/2023
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