Doctor Name: | JANET ANN NELSON |
NPI Number: | 1013033554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | SW 7805 |
Business Practice Address: | 2888 Mahan Dr Ste 4 Tallahassee, FL - 323085465 |
Business Phone Number: | 8503859046 |
Business Fax Number: | |
Mailing Address: | 3101 Tipperary Dr, TALLAHASSEE |
State: | FL |
Postal Code: | 323093328 |
Phone Number: | 8506684053 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | SW 7805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |