Individual
MR. JUSTIN SCOTT NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Contact information
Practice address
3793 RIVER RD N, KEIZER, OR 97303-4827
(503) 304-4358
(503) 304-4361
Mailing address
PO BOX 20674, KEIZER, OR 97307-0674
(503) 304-4358
(503) 304-4361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08-08-54
OR
Other
Enumeration date
02/04/2011
Last updated
12/15/2023
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