Provider Demographics
NPI:1962089813
Name:NELSON, ANTHONY TRELANE (MA, NCC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:TRELANE
Last Name:NELSON
Suffix:
Gender:M
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-1516
Mailing Address - Country:US
Mailing Address - Phone:814-403-0624
Mailing Address - Fax:
Practice Address - Street 1:1600 CORNELL ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-4613
Practice Address - Country:US
Practice Address - Phone:412-383-1559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor