Provider Demographics
NPI:1801194881
Name:NELSON AFOA, APRIL GWYN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:GWYN
Last Name:NELSON AFOA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:GWYN
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1910 HUNTINGTON DR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4887
Mailing Address - Country:US
Mailing Address - Phone:714-348-3978
Mailing Address - Fax:
Practice Address - Street 1:1910 HUNTINGTON DR UNIT 2
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4887
Practice Address - Country:US
Practice Address - Phone:714-348-3978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45284106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist