Most Relevant Information
Provider Data
| NPI Number: | 1003654583 |
| Provider Name: | ROBIN NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 18690 |
Most Important Dates
| Enumeration Date: | 07/18/2024 |
| Last Updated: | 07/18/2024 |
Provider Practice Location
1147 HARTNELL AVE
REDDING
CA
960022113
Practice Location Phone/Fax
| Phone: | 5302227213 |
| Fax: |
Provider Mailing Location
1147 HARTNELL AVE
REDDING
CA
960022113
Provider Mailing Phone/Fax
| Phone: | 5302227213 |
| Fax: |