Individual
JAMES ROBERT NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
92 FAIRFIELD STREET, ST. ALBANS, VT 05478
(802) 524-2002
(802) 527-1915
Mailing address
92 FAIRFIELD STREET, ST. ALBANS, VT 05478
(802) 524-2002
(802) 527-1915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000383
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008374
—
VT
Enumeration date
05/02/2007
Last updated
07/08/2007
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