Most Relevant Information
Provider Data
| NPI Number: | 1003589748 |
| Provider Name: | RENEE NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2021 |
| Last Updated: | 07/28/2021 |
Provider Practice Location
9 W BROADWAY FL 3
PATERSON
NJ
075051014
Practice Location Phone/Fax
| Phone: | 9733451883 |
| Fax: | 9733455480 |
Provider Mailing Location
9 W BROADWAY FL 3
PATERSON
NJ
075051014
Provider Mailing Phone/Fax
| Phone: | 9733451883 |
| Fax: | 9733455480 |