Individual
COURTENEY GENIECE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 WESTERN AVE, ALBANY, NY 12203-1400
(916) 779-9212
Mailing address
120 TRAHAN ST, LIBERTY, TX 77575-9582
(916) 779-9212
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
51139704
NY
2085B0100X
Body Imaging Physician
51139704
NY
323P00000X
Psychiatric Residential Treatment Facility
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Other
Enumeration date
03/25/2024
Last updated
01/12/2026
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