Individual
SUSAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6401
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
08/13/2006
Last updated
09/11/2025
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