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Individual

JOEY NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S. B.S.

Contact information

Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
Mailing address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ID

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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