Individual
DIANNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2003 GODWIN AVE, STE A, LUMBERTON, NC 28358-3197
(910) 739-8849
(910) 739-5167
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7607
NC
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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