Individual
ALYSIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E BADGER RD STE A, MADISON, WI 53713-2708
(608) 250-2512
Mailing address
115 E. BADGER RD., SUITE A, MADISON, WI 53713
(608) 250-2512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17675-130
WI
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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