Organization
COULEE REGION COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY A NELSON MS, LMFT (THERAPIST, / OWNER)
(608) 780-6685
Entity
Organization
Contact information
Practice address
W5073 COUNTY ROAD B, LA CROSSE, WI 54601-2983
(608) 780-6685
Mailing address
W5073 COUNTY ROAD B, LA CROSSE, WI 54601-2983
(608) 780-6685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
713124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41000100
—
WI
Enumeration date
09/15/2008
Last updated
09/15/2008
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