Provider Demographics
NPI:1649259573
Name:NELSON, ALESSANDRA MARIACHIARA (LCMHC)
Entity type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:MARIACHIARA
Last Name:NELSON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87501
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-7501
Mailing Address - Country:US
Mailing Address - Phone:910-286-2820
Mailing Address - Fax:910-676-7332
Practice Address - Street 1:5135 MORGANTON RD STE 109
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1525
Practice Address - Country:US
Practice Address - Phone:910-286-2820
Practice Address - Fax:910-676-7332
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4361101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health