Individual provider · Type 1 NPI

Timothy Nelson, RADT

Addiction (Substance Use Disorder) Counselor · Campo, CA

NPI number 1720944994 Active

Practice location

1777 Buckman Springs Rd
Campo, CA 91906-2022

Fax (619) 478-2404

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1426281225 (CA)

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

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About NPI 1720944994

Timothy Nelson, RADT's National Provider Identifier is 1720944994, issued on Dec 31, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Campo, CA. The record was last updated on Dec 31, 2025.