Individual provider · Type 1 NPI
Ivan Louis Nelson, LADC, CPP
Professional Counselor · St. Paul, MN
NPI number
1023680436
Active
Practice location
34 Moreland Ave E
St. Paul, MN 55118-2444
Mailing address
9333 Nesbitt Rd
Bloomington, MN 55437-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 304554 (MN) |
Professional Counselor: Definition to come...
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About NPI 1023680436
Ivan Louis Nelson, LADC, CPP's National Provider Identifier is 1023680436, issued on Jul 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on Jul 14, 2021.