Individual
JAMIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
37625 ELEANOR AVE, NORTH BRANCH, MN 55056-5546
(651) 592-8556
Mailing address
37625 ELEANOR AVE, NORTH BRANCH, MN 55056-5546
(651) 592-8556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305654
MN
101YM0800X
Mental Health Counselor
Primary
5834
MN
Other
Enumeration date
12/09/2025
Last updated
01/13/2026
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