Individual
MS. JODI NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED/LMFT
Contact information
Practice address
110 2ND ST S, STE #301, WAITE PARK, MN 56387-1662
(320) 252-2976
(320) 656-1570
Mailing address
15127 MARY LN, LITTLE FALLS, MN 56345-5503
(320) 252-2976
(320) 656-1570
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1687
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437339835
—
MN
Enumeration date
11/14/2007
Last updated
02/24/2015
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