| Katie Nelson, Lpc, Llc | |
|
465 N Belair Rd Ste 2d Evans GA 30809-3188 | |
| (706) 651-9647 | |
| Not Available |
| Full Name | Katie Nelson, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 465 N Belair Rd, Evans, Georgia |
| Authorized Official Name and Position | Katie Daniel Nelson (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7069756284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Nelson, Lpc, Llc 465 N Belair Rd Ste 2d Evans GA 30809-3188 Ph: (706) 651-9647 | Katie Nelson, Lpc, Llc 465 N Belair Rd Ste 2d Evans GA 30809-3188 Ph: (706) 651-9647 |
| NPI Number | 1386924157 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386924157 | NPI | - | NPPES |
| 003107424A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006115 (Georgia) | Primary |
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