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NPI Code Detail

MEDICARE: DELORIS NELSON LPC

MEDICARE:   DELORIS  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 Counselor9020TX

General Provider Information

NPI Number : 1215910070
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELORIS NELSON LPC
Provider Business Mailing Address
First Line : 1006 S SHORE DR
Second Line :
City : KEMAH
State : TX
Zip : 77565-2490
Country : US
Telephone Number : 281-334-2272
Fax Number : 281-334-2272
Provider Business Practice Location Address
First Line : 1006 S SHORE DR
Second Line : 3
City : KEMAH
State : TX
Zip : 77565-2490
Country : US
Telephone Number : 281-334-2272
Fax Number : 281-334-2272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 07/08/2007

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Directions to “ DELORIS NELSON LPC” Practice Location

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