Doctor Name: | MS. LOUISE D NIELSEN |
NPI Number: | 1184909848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LMHC, RPT-S |
License Number: | 000031 |
Business Practice Address: | 621 Route 52 Beacon, NY - 125081235 |
Business Phone Number: | 8455276880 |
Business Fax Number: | 8458311579 |
Mailing Address: | 621 Route 52, BEACON |
State: | NY |
Postal Code: | 125081235 |
Phone Number: | 8455276880 |
Fax Number: | 8458311579 |
NPI Enumeration Date: | 10/13/2011 |
NPI Last Update Date: | 10/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |