Individual
MR. DANE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
505 W GRAND AVE, HOT SPRINGS, AR 71901-3931
(501) 624-7111
(501) 620-5231
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913
(501) 620-5130
(501) 620-5231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0408035
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114108
MHN NETWORK
AR
01
—
11626153
CAQH
—
05
—
116399726
—
AR
01
—
2245132
CIGNA BEHAVIORAL HEALTH
AR
01
—
256015
COMPSYCH
—
01
—
507000025600
QUAL-CHOICE
AR
01
—
5Y486
BLUE CROSS & BLUE SHIELD
AR
01
—
71-0401764
CORPHEALTH
AR
01
—
7963851
AETNA
AR
01
—
811960000
MAGELLAN
AR
01
—
977750
USA MANAGED CARE
AR
Enumeration date
02/01/2006
Last updated
12/17/2008
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