Individual
BRIAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
Mailing address
3450 OLEARY LN, EAGAN, MN 55123-2340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02165
MN
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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