Most Relevant Information
Provider Data
| NPI Number: | 1003474750 |
| Provider Name: | RICHELLE BETH NELSON MHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/29/2019 |
| Last Updated: | 05/29/2019 |
Provider Practice Location
64 DIVISION AVE
LEVITTOWN
NY
117562999
Practice Location Phone/Fax
| Phone: | 6317588290 |
| Fax: |
Provider Mailing Location
1650 SYCAMORE AVE STE 39
BOHEMIA
NY
117161736
Provider Mailing Phone/Fax
| Phone: | 6317588290 |
| Fax: |