Tarvis Nelson

NPI 1407699184 · on the registry since 2024 · sole proprietor

Practice

Address: 1132 Beaumont Ave Ste 105
Beaumont, CA 92223
Phone: (225) 803-7528
Organisation at this address: Prism Counseling Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 225700000X
225700000X
Also registered as: 171400000X
171M00000X
174H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California