Individual
CHETNEY NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMFT
Contact information
Practice address
12303 AIRPORT WAY STE 125, BROOMFIELD, CO 80021-2729
(970) 310-3406
Mailing address
5519 HIGH MEADOW DR, MANHATTAN, KS 66503-8443
(785) 317-3666
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
695
KS
106H00000X
Marriage & Family Therapist
Primary
MFT.0002531
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11759308
CAQH
—
05
—
200437130A
—
KS
01
—
448335
BCBS NUMBER
KS
Enumeration date
06/14/2006
Last updated
03/01/2024
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