Individual
MRS. JENNIFER LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
12214 200TH ST, WADENA, MN 56482-3124
(218) 631-3610
(218) 631-3917
Mailing address
PO BOX 206, WADENA, MN 56482-0206
(218) 631-3610
(218) 631-3917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304102
MN
Other
Enumeration date
09/20/2017
Last updated
03/04/2024
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