Nelson, John-Mike

Nelson, John-Mike is an individual health care provider with primary practice located at 9228 George Washington Memorial Hwy , Gloucester VA 23061-4162. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Nelson, John-Mike can be contacted via phone (804) 695-8119.

Contact Information

Primary practice address
9228 George Washington Memorial Hwy Gloucester VA 23061-4162
Phone: (804) 695-8119
Fax: (804) 695-8122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701005173 Virginia

Profile Details

NPI number 1700159563
LBN Legal business name Nelson, John-Mike
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700159563 NPPES
Virginia MEDICAID 1497717615

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