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NPI Code Detail

MEDICARE: MS. DONNA LYNN NELSON M.ED, LPC

MEDICARE: MS. DONNA LYNN NELSON M.ED, 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 CounselorLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407938095
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA LYNN NELSON M.ED, LPC
Provider Business Mailing Address
First Line : 1000 CHINABERRY DR STE 900
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2455
Country : US
Telephone Number : 318-459-6795
Fax Number : 318-626-5429
Provider Business Practice Location Address
First Line : 4306 S GRAND ST
Second Line :
City : MONROE
State : LA
Zip : 71202-6322
Country : US
Telephone Number : 318-324-5441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 10/16/2023

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