Individual
KIMBERLY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1011 10TH ST, ONAWA, IA 51040-1614
(712) 423-9098
(712) 423-9604
Mailing address
1011 10TH ST, ONAWA, IA 51040-1614
(712) 423-9098
(712) 423-9604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11093
IA
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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