Individual
CHALICE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1150 ASTOR AVE SW APT 1310, ATLANTA, GA 30310-4867
(585) 694-7413
Mailing address
1150 ASTOR AVE SW APT 1310, ATLANTA, GA 30310-4867
(585) 694-7413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010728
GA
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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