Individual
JEREMY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.C.
Contact information
Practice address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
(937) 853-5449
(937) 236-8930
Mailing address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
(937) 853-5449
(937) 236-8930
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1200685
OH
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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