Todd Michael Nelson, M.S., L.C.P.C.
NPI #1073665501 in Bloomington, Illinois
Provider Information
- NPI Number
- 1073665501
- Entity Type
- Individual
- Name
- Todd Michael Nelson, M.S., L.C.P.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.S., L.C.P.C.
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Feb 7, 2017
Practice Location
- Address
- 901 E GROVE ST
- Address 2
- SUITE T.
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4200
- Phone
- (309) 532-3104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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