Individual
CRAIG NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 SW KINKADE AVE, BOARDMAN, OR 97818
(541) 481-2911
Mailing address
PO BOX 261, BOARDMAN, OR 97818-0261
(541) 481-2911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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