Provider Demographics
NPI:1457410953
Name:NELSON, FRANCES ELIZABETH (LPC)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:ELIZABETH
Last Name:NELSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4985 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-1802
Mailing Address - Country:US
Mailing Address - Phone:505-424-9789
Mailing Address - Fax:505-424-9792
Practice Address - Street 1:325 W CORDOVA RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-1809
Practice Address - Country:US
Practice Address - Phone:505-577-7709
Practice Address - Fax:505-424-1316
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0065572101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional