Individual
REBECCA K NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MEMORIAL MEDICAL CENTER, 1635 MAPLE LANE, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Mailing address
MEMORIAL MEDICAL CENTER, 1635 MAPLE LANE, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16172
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16172
WI LICENSE
WI
Enumeration date
05/17/2018
Last updated
05/17/2018
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