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NPI Code Detail

MEDICARE: MRS. CHERRY LYNN NELSON LPCC-S

MEDICARE: MRS. CHERRY LYNN NELSON LPCC-S
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 CounselorE.1700327-SUPVOH

General Provider Information

NPI Number : 1760889489
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERRY LYNN NELSON LPCC-S
Provider Business Mailing Address
First Line : 1200 E WHEELING AVE
Second Line :
City : CAMBRIDGE
State : OH
Zip : 43725-2510
Country : US
Telephone Number : 740-432-1800
Fax Number : 740-432-9299
Provider Business Practice Location Address
First Line : 1200 E WHEELING AVE
Second Line :
City : CAMBRIDGE
State : OH
Zip : 43725-2510
Country : US
Telephone Number : 740-432-1800
Fax Number : 740-432-9299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2014
Last Update Date : 08/16/2021

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Directions to “ MRS. CHERRY LYNN NELSON LPCC-S” Practice Location

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