Provider Demographics
NPI:1124239702
Name:NELSON, WENDY (LPC)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41468 COUNTRY ROSE CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-4569
Mailing Address - Country:US
Mailing Address - Phone:303-228-9990
Mailing Address - Fax:303-646-0358
Practice Address - Street 1:700 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3360
Practice Address - Country:US
Practice Address - Phone:303-228-9990
Practice Address - Fax:303-646-0358
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1366101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health