Individual provider · Type 1 NPI

Colette R. Nelson, LSUDC

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1104313675 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Mailing address

2220 E Murray Holladay Rd Apt 55
Holladay, UT 84117-5306

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6754445-6006 (UT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104313675

Colette R. Nelson, LSUDC's National Provider Identifier is 1104313675, issued on Apr 19, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 19, 2018.