Bob Nelson, BMS

NPI #1134526460 in Grants, New Mexico

Provider Information

NPI Number: 1134526460
Entity Type: Individual
Name: Bob Nelson, BMS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BMS
Enumeration Date: Dec 2, 2014
Last Updated: Jun 25, 2015

Practice Location

Address: 210 E SANTA FE AVE
Address 2: SUITE A
City: Grants
State: New Mexico
ZIP Code: 87020-2443
Phone: (505) 876-1890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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