Provider Demographics
NPI:1396021184
Name:HELGESON, NANCY LEE (MFT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LEE
Last Name:HELGESON
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 1:3130 W FOX RUN WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-7704
Mailing Address - Country:US
Mailing Address - Phone:868-268-9340
Mailing Address - Fax:
Practice Address - Street 1:3130 W FOX RUN WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-7704
Practice Address - Country:US
Practice Address - Phone:868-268-9340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC22957106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist