IDA M NELSON

RICHMOND, VA
NPI1346513900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710102443)
Enumeration Date2012-02-13
Last Update Date2012-02-13
Business Address
-- IDA M NELSON CSAC
2000 MECKLENBURG ST
RICHMOND, VA 23223-3716
Phone number: 804-249-1055
Mailing Address
-- IDA M NELSON CSAC
PO BOX 793
MECHANICSVILLE, VA 23111-0793
Phone number: 804-363-8964
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