Individual
ALYSSA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW, LADC
Contact information
Practice address
1246 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4125
(612) 286-0523
Mailing address
1246 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
305273
MN
104100000X
Social Worker
Primary
27554
MN
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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