Individual
ISAAC NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
550 2ND ST STE 229, IDAHO FALLS, ID 83401-3900
(208) 643-3639
Mailing address
PO BOX 2426, IDAHO FALLS, ID 83403-2426
(208) 643-3639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-8861
ID
Other
Enumeration date
09/23/2019
Last updated
05/15/2025
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