Individual
ALEX JACKSON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3217 HENNEPIN AVE, SUITE 2, MINNEAPOLIS, MN 55408-4694
(612) 235-6743
Mailing address
3217 HENNEPIN AVE, SUITE 2, MINNEAPOLIS, MN 55408-4694
(612) 235-6743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19500
MD
101YM0800X
Mental Health Counselor
Primary
23714
MN
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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