| John-mike Nelson, Pllc | |
|
5240 Lyngate Ct Burke VA 22015-1631 | |
| (202) 630-1597 | |
| (844) 687-2699 |
| Full Name | John-mike Nelson, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5240 Lyngate Ct, Burke, Virginia |
| Authorized Official Name and Position | John-mike Nelson (THERAPIST) |
| Authorized Official Contact | 2026301597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John-mike Nelson, Pllc 5240 Lyngate Ct Burke VA 22015-1631 Ph: (202) 630-1597 | John-mike Nelson, Pllc 5240 Lyngate Ct Burke VA 22015-1631 Ph: (202) 630-1597 |
| NPI Number | 1770935926 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770935926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0718000247 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701005173 (Virginia) | Primary |
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