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Organization
KRISTIN NELSON, LLC
Active
Organization
KRISTIN NELSON, LLC
Active
Other names
Kristin Nelson, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN LYNN NELSON PSYD, LP (CLINICAL PSYCHOLOGY)
(651) 964-8967
Entity
Organization
Contact information
Practice address
821 RAYMOND AVE STE 220, SAINT PAUL, MN 55114-1525
(651) 964-8967
(651) 964-8967
Mailing address
821 RAYMOND AVE STE 220, SAINT PAUL, MN 55114-1525
(651) 964-8967
(651) 412-9442
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205105426
NPI
MN
Enumeration date
08/10/2022
Last updated
08/10/2022
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