Individual provider · Type 1 NPI

Jerry Nelson

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1124151428 Active

Practice location

2650 W Broadway
Louisville, KY 40211-1333

Call (502) 589-1100 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X166933 (KY)

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

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About NPI 1124151428

Jerry Nelson's National Provider Identifier is 1124151428, issued on Mar 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Jun 24, 2016.