| Doctor Name: | MRS. KRISTA LEIGH NELSON |
| NPI Number: | 1275753477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC NCC |
| License Number: | PO411048 |
| Business Practice Address: | 1308 W 5th St Crossett, AR - 71635 |
| Business Phone Number: | 8703646471 |
| Business Fax Number: | 8703649753 |
| Mailing Address: | 409 South Main St, WARREN |
| State: | AR |
| Postal Code: | 71671 |
| Phone Number: | 8702262452 |
| Fax Number: | 8702265905 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PO411048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |