Individual provider · Type 1 NPI

Jeremy Nelson

Mental Health Counselor · Ada, OK

NPI number 1790087104 Active

Practice location

111 E 12th St
Ada, OK 74820-6501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790087104

Jeremy Nelson's National Provider Identifier is 1790087104, issued on Nov 18, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ada, OK. The record was last updated on Nov 18, 2010.