Individual
JANAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2993 BROADMOOR VALLEY RD STE 105C, COLORADO SPRINGS, CO 80906-1439
(719) 244-3662
Mailing address
PO BOX 1085, MONUMENT, CO 80132-1085
(801) 231-0989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
125
CO
1041C0700X
Clinical Social Worker
Primary
1030
CO
1041C0700X
Clinical Social Worker
6683
KS
Other
Enumeration date
10/12/2006
Last updated
07/25/2013
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