Individual
MR. JUSTIN LEE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, ACT
Contact information
Practice address
310 S 1ST AVE, SIOUX FALLS, SD 57104-6329
(605) 336-2556
(605) 339-3345
Mailing address
310 S 1ST AVE, SIOUX FALLS, SD 57104-6329
(605) 336-2556
(605) 339-3345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LPC20290
SD
Other
Enumeration date
11/13/2018
Last updated
11/19/2018
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