Russell Glenn Nelson
NPI #1124298732 in San Luis Obispo, California
Provider Information
- NPI Number
- 1124298732
- Entity Type
- Individual
- Name
- Russell Glenn Nelson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 11, 2008
- Last Updated
- Oct 3, 2013
Practice Location
- Address
- 2180 JOHNSON AVE
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-4513
- Phone
- (805) 788-2524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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