Provider Demographics
NPI:1366642902
Name:NELSON, CAROL ELAINE (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ELAINE
Last Name:NELSON
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:DUQUESNE
Mailing Address - State:PA
Mailing Address - Zip Code:15110-1011
Mailing Address - Country:US
Mailing Address - Phone:412-608-3727
Mailing Address - Fax:412-727-2306
Practice Address - Street 1:406 GRANT AVE
Practice Address - Street 2:
Practice Address - City:DUQUESNE
Practice Address - State:PA
Practice Address - Zip Code:15110
Practice Address - Country:US
Practice Address - Phone:412-608-3727
Practice Address - Fax:417-727-2306
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004972101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional