| NPI | 1013588649 |
|---|---|
| Doing Business As | CINDY L. NELSON |
| Entity Type | Organization |
| Authorized Contact | SHELLEY KUCINSKI Billing & Credentialing 386-216-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |