Ivan David Nelson, R-AAC
NPI #1033686795 in Longview, Washington
Provider Information
- NPI Number
- 1033686795
- Entity Type
- Individual
- Name
- Ivan David Nelson, R-AAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- R-AAC
- Enumeration Date
- Oct 30, 2018
- Last Updated
- Nov 4, 2025
Practice Location
- Address
- 1302 COMMERCE AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3096
- Phone
- (360) 423-2806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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