Individual provider · Type 1 NPI

Amanda Diann Nelson

Addiction (Substance Use Disorder) Counselor · Janesville, WI

NPI number 1881149094 Active

Practice location

113 S Franklin St
Janesville, WI 53548-3812

Mailing address

PO Box 1649, 3530 N Cty Rd F
Janesville, WI 53547-1649

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17733-130 (WI)
Professional Counselor 101YP2500X2830-226 (WI)

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

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About NPI 1881149094

Amanda Diann Nelson's National Provider Identifier is 1881149094, issued on Aug 17, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Janesville, WI. The record was last updated on Aug 17, 2016.