Individual provider · Type 1 NPI

Addy Nelson, LSW

Addiction (Substance Use Disorder) Counselor · Fargo, ND

NPI number 1063937472 Active

Practice location

2624 9th Ave S
Fargo, ND 58103-2350

Fax (701) 298-4400

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1038-11-1-19A (ND)
Social Worker 104100000X4835 (ND)
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1821 (ND)

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About NPI 1063937472

Addy Nelson, LSW's National Provider Identifier is 1063937472, issued on Aug 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fargo, ND. The record was last updated on Jul 21, 2022.