Individual provider · Type 1 NPI

Henrietta Mae Nelson

Addiction (Substance Use Disorder) Counselor · Moore, OK

NPI number 1114438058 Active

Practice location

400 N Eastern Ave
Moore, OK 73160-5833

Call (405) 659-5858 Map

Mailing address

PO Box 7376
Moore, OK 73153-1376

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114438058

Henrietta Mae Nelson's National Provider Identifier is 1114438058, issued on Oct 18, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moore, OK. The record was last updated on Oct 23, 2017.