Organization
KRISTIN NELSON, LLC
Active
Other names
Kristin Nelson, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN LYNN NELSON PSYD, LP (CLINICAL PSYCHOLOGY)
(651) 964-8967
Entity
Organization
Contact information
Practice address
821 RAYMOND AVE STE 220, SAINT PAUL, MN 55114-1525
(651) 964-8967
(651) 964-8967
Mailing address
821 RAYMOND AVE STE 220, SAINT PAUL, MN 55114-1525
(651) 964-8967
(651) 412-9442
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205105426
NPI
MN
Enumeration date
08/10/2022
Last updated
08/10/2022
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