Individual provider · Type 1 NPI

Shelly R. Nelson, LPC, CSW, CSAC

Professional Counselor · Wauwatosa, WI

NPI number 1346419561 Active

Practice location

2825 N Mayfair Rd, Suite 209
Wauwatosa, WI 53222-4406

Call (414) 630-1028 Map

Fax (414) 256-0070

Mailing address

2825 N Mayfair Rd Ste 209, Suite 209
Wauwatosa, WI 53222-4406

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X2620-120 (WI)
Professional Counselor Primary 101YP2500X3990-125 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X16032-132 (WI)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1346419561

Shelly R. Nelson, LPC, CSW, CSAC's National Provider Identifier is 1346419561, issued on Feb 21, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wauwatosa, WI. The record was last updated on Jan 20, 2017.