| Nelson Family Counseling, Llc. | |
|
705 E Lincoln St Ste 302 Normal IL 61761-6406 | |
| (309) 826-3566 | |
| (309) 452-9814 |
| Full Name | Nelson Family Counseling, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 705 E Lincoln St Ste 302, Normal, Illinois |
| Authorized Official Name and Position | Katharine Ann Fagan-nelson (LICENSCED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3098263566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Family Counseling, Llc. 705 E Lincoln St Ste 302 Normal IL 61761-6406 Ph: (309) 826-3566 | Nelson Family Counseling, Llc. 705 E Lincoln St Ste 302 Normal IL 61761-6406 Ph: (309) 826-3566 |
| NPI Number | 1114464781 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114464781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149009316 (Illinois) | Primary |
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