Individual
ELIZABETH JO NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPC
Contact information
Practice address
8635 N GLOUCESTER AVE, PORTLAND, OR 97203-5937
(971) 998-5584
Mailing address
8635 N GLOUCESTER AVE, PORTLAND, OR 97203-5937
(971) 998-5584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7529
OR
Other
Enumeration date
05/20/2007
Last updated
08/01/2023
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