Individual
CORY ALAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC QMHP
Contact information
Practice address
1028 WALNUT ST, LEWIS & CLARK BHS, YANKTON, SD 57078-2910
(605) 665-4606
(605) 665-4673
Mailing address
1028 WALNUT ST, YANKTON, SD 57078-2910
(605) 665-4606
(605) 665-4673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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