Individual
THOMAS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
919 LAFOND AVE, SAINT PAUL, MN 55104-2108
(651) 642-4000
Mailing address
521 LEXINGTON PKWY N, #2, SAINT PAUL, MN 55104-2549
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00059
MN
Other
Enumeration date
07/02/2007
Last updated
07/11/2007
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