Individual
SCOTT NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CPRP
Contact information
Practice address
13021 EVERGREEN DR, BAXTER, MN 56425-7439
(218) 829-9307
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
179959
MN
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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