Jackie Nelson, Pllc

NPI #1033740865 in Boise, Idaho

Provider Information

NPI Number
1033740865
Entity Type
Organization
Organization Name
Jackie Nelson, Pllc
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Jan 30, 2020
Last Updated
Jan 30, 2020

Practice Location

Address
202 N 9TH ST STE 401C
City
Boise
State
Idaho
ZIP Code
83702-5770
Phone
(208) 639-9192

Authorized Official

Name
JACQUELYN NELSON, M.S.C, LCPC
Title
OWNER AND COUNSELOR
Phone
(480) 316-5462

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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