Doctor Name: | MS. SANDRA NELSON |
NPI Number: | 1003244716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5595 |
Business Practice Address: | 990 Lake Hunter Cir Suite 1a Mt Pleasant, SC - 294645426 |
Business Phone Number: | 8438814117 |
Business Fax Number: | 8438814155 |
Mailing Address: | 633 Highwood Cir, CHARLESTON |
State: | SC |
Postal Code: | 294129004 |
Phone Number: | 8433009105 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2013 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |