Provider Demographics
NPI:1225380777
Name:FINN, NELLIE PEDRO (MFT)
Entity Type:Individual
Prefix:MS
First Name:NELLIE
Middle Name:PEDRO
Last Name:FINN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2718
Mailing Address - Country:US
Mailing Address - Phone:760-994-8473
Mailing Address - Fax:
Practice Address - Street 1:2551 STATE ST
Practice Address - Street 2:#103
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1683
Practice Address - Country:US
Practice Address - Phone:760-994-8473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38126106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist