Individual
BRETT HULSE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2235 E 25TH ST, SUITE 160, IDAHO FALLS, ID 83404-7519
(208) 522-9812
Mailing address
PO BOX 3051, IDAHO FALLS, ID 83403-3051
(208) 227-2114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-4069
ID
Other
Enumeration date
11/16/2007
Last updated
09/03/2008
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