Individual provider · Type 1 NPI
Jonathan Scott Nelson, LCPC
Professional Counselor · Rockford, IL
NPI number
1497982151
Active
Practice location
129 Phelps Ave Ste 204
Rockford, IL 61108-2447
Fax (815) 394-3990
Mailing address
478 Cross Plains Rd
Rockford, IL 61107-5302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25596 (IL) |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 180-007240 (IL) |
Professional Counselor: Definition to come...
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About NPI 1497982151
Jonathan Scott Nelson, LCPC's National Provider Identifier is 1497982151, issued on Jun 19, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Jan 30, 2023.