Individual
JOEL NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
524 CLEVELAND BLVD STE 180, CALDWELL, ID 83605-4076
(208) 912-0892
(208) 345-3502
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-9039
ID
Other
Enumeration date
06/30/2017
Last updated
11/29/2023
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