Individual
JEFFREY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 989-4357
(303) 988-2017
Mailing address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 989-4357
(303) 988-2017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-992452
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98275054
—
CO
Enumeration date
03/28/2007
Last updated
07/10/2007
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