Individual
BRITTANY LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 S 4TH ST, OREGON, IL 61061-1628
(815) 732-2499
Mailing address
121 S 4TH ST, OREGON, IL 61061-1628
(815) 501-2088
(815) 562-2088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
149.023129
IL
101YM0800X
Mental Health Counselor
Primary
149.023129
IL
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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