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Lyle Wallace Nelson
Mental Health Counselor in Camarillo, California
NPI 1043440886

Lyle Wallace Nelson is a Mental Health Counselor based in Camarillo, CA and is specialized in Mental Health. Lyle Wallace Nelson practices in Camarillo, CA. The NPI Number for Lyle Wallace Nelson is 1043440886 and holds a License No. (California).

The current practice location address for Lyle Wallace Nelson is 975 Flynn Rd, Camarillo, CA and can be reached out via phone at 805-388-7740.

Location: 975 Flynn Rd, Camarillo, CA, 93012-8704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043440886
Provider Name
Lyle Wallace Nelson
Credential
Provider Entity Type
Individual
Gender
Male
Address
975 Flynn Rd, Camarillo, CA, 93012-8704
Phone Number
805-388-7740
Fax Number
Provider Enumeration Date
07/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
975 Flynn Rd
City
Camarillo
State
California
Zip
93012-8704
Phone Number
805-388-7740
Fax Number
person
Provider Business Mailing Address Details
Address
975 Flynn Rd
City
Camarillo
State
California
Zip
93012-8704
Phone Number
805-388-7740
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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