| Doctor Name: | GEORGIA A NELSON |
| NPI Number: | 1689756355 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2058 |
| Business Practice Address: | 36600 N Pima Rd Suite 203 Carefree, AZ - 85377 |
| Business Phone Number: | 4026170450 |
| Business Fax Number: | 4802032190 |
| Mailing Address: | Po Box 27272, SCOTTSDALE |
| State: | AZ |
| Postal Code: | 852550137 |
| Phone Number: | 4026170450 |
| Fax Number: | 4802032190 |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2058 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |