Individual
MS. KATIE LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
23 PINE ST N, MORA, MN 55051-1320
(320) 679-6964
Mailing address
12580 192ND CT NW STE F, ELK RIVER, MN 55330-5085
(218) 251-1546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02027
MN
Other
Enumeration date
01/14/2019
Last updated
12/18/2024
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