Individual
KARISSA J NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC IT
Contact information
Practice address
3704 WESTON AVE, WESTON, WI 54476-5242
(715) 298-6364
(715) 298-6365
Mailing address
107 GEORGE ST, ROTHSCHILD, WI 54474-1614
(715) 551-3084
(715) 298-6365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3490-226
WI
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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