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NPI Code Detail

MEDICARE: MRS. THUY NELSON LPC

MEDICARE: MRS. THUY NELSON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701013668VA

General Provider Information

NPI Number : 1366285777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. THUY NELSON LPC
Provider Business Mailing Address
First Line : 14000 CROWN CT STE 101
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-1461
Country : US
Telephone Number : 703-659-9900
Fax Number :
Provider Business Practice Location Address
First Line : 14000 CROWN CT STE 101
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-1461
Country : US
Telephone Number : 703-659-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2024
Last Update Date : 06/13/2024

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Directions to “ MRS. THUY NELSON LPC” Practice Location

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