Individual
DR. JULIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
201 6TH ST NE, STAPLES, MN 56479-2431
(218) 894-0034
Mailing address
49913 223RD AVE, STAPLES, MN 56479-5020
(218) 894-2235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300100
MN
106H00000X
Marriage & Family Therapist
1155
MN
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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