Annie Shea Nelson
Counselor, Mental Health in Chicago, IL. Individual provider (NPI-1).
NPI number1013320522
StatusActive
Last updated in NPPESJun 3, 2014
Details
- NPI
- 1013320522
- Entity type
- Individual (NPI-1)
- Name
- Miss Annie Shea Nelson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2014
- Last updated
- Jun 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
5801 N Pulaski RdBuilding C, 2nd Floor
Chicago, IL 60646-6007
Phone 312-744-1906 · Fax 312-744-5568
Mailing address
5801 N Pulaski RdBuilding C, 2nd Floor
Chicago, IL 60646-6007
Phone 312-744-1906 · Fax 312-744-5568
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