Individual
STEPHEN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1582 N HOLMES AVE, IDAHO FALLS, ID 83401-2032
(208) 529-8832
(208) 535-7595
Mailing address
1582 N HOLMES AVE, IDAHO FALLS, ID 83401-2032
(208) 529-8832
(208) 535-7595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6158
ID
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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