Individual
AMBER D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LCAC
Contact information
Practice address
7151 15TH ST S, FARGO, ND 58104-6613
(701) 857-4232
(701) 852-1190
Mailing address
6301 19TH AVE NW, MINOT, ND 58703-8899
(701) 857-4232
(701) 852-1190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1695
ND
101YP2500X
Professional Counselor
Primary
787-6-1-14A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75025
—
ND
Enumeration date
10/28/2013
Last updated
01/27/2022
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