Individual
SUSAN BARBARA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
20145 EXCELSIOR BLVD, SHOREWOOD, MN 55331-8730
(612) 554-2555
Mailing address
20145 EXCELSIOR BLVD, SHOREWOOD, MN 55331-8730
(612) 554-2555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
881
MN
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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