Individual
TREVOR JAMES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
33 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 243-9304
(208) 656-5668
Mailing address
33 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 243-9304
(208) 656-5668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-38193
ID
1041C0700X
Clinical Social Worker
LMSW-35746
ID
Other
Enumeration date
06/01/2016
Last updated
10/09/2023
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