Individual provider · Type 1 NPI
Penelope Ivy Nelson, LADC
Addiction (Substance Use Disorder) Counselor · Winnebago, MN
NPI number
1710640032
Active
Practice location
132 1st Ave SE
Winnebago, MN 56098-1052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305553 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1710640032
Penelope Ivy Nelson, LADC's National Provider Identifier is 1710640032, issued on Oct 14, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winnebago, MN. The record was last updated on Oct 14, 2021.