PROF. Ivan Louis Nelson, LADC,CPP
NPI #1023680436 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1023680436
- Entity Type
- Individual
- Name
- PROF. Ivan Louis Nelson, LADC,CPP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LADC,CPP
- Enumeration Date
- Jul 14, 2021
- Last Updated
- Jul 14, 2021
Practice Location
- Address
- 34 MORELAND AVE E
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55118-2444
- Phone
- (612) 306-3416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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