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Individual

MR. CHARLES RICHARD NELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
575 W MAIN ST, LEXINGTON, KY 40507-1644
(513) 834-7063
(513) 873-1567
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103018
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972653772
KY
05
30615058
KY
05
7100659170
KY
Enumeration date
01/12/2007
Last updated
09/12/2024
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