Individual
TEAL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
515 19TH AVE SE, MINOT, ND 58701-6634
(701) 837-4989
(701) 837-9660
Mailing address
515 19TH AVE SE, MINOT, ND 58701-6634
(701) 837-4989
(701) 837-9660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1796
ND
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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