Individual provider · Type 1 NPI

Jimmy Nelson

Mental Health Counselor · La Selva Beach, CA

NPI number 1649408915 Active

Practice location

9C Marea Ave
La Selva Beach, CA 95076-1726

Call (831) 688-6293 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649408915

Jimmy Nelson's National Provider Identifier is 1649408915, issued on Jun 25, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Selva Beach, CA. The record was last updated on Jun 25, 2009.