Individual
LISA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 LYNCH ST., WRANGELL, AK 99929
(907) 874-5095
Mailing address
PO BOX 507, YAKUTAT, AK 99689-0507
(907) 784-3639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
11/30/2020
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