Individual
KEITH D. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
500 8TH AVE, TERRE HAUTE, IN 47804-4072
(812) 231-8376
(812) 231-8208
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
(812) 231-8315
(812) 231-8442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002013
IN
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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