Martina Jane Nelson, LCSW, LAC,CMHP

NPI #1922015536 in Libby, Montana

Provider Information

NPI Number: 1922015536
Entity Type: Individual
Name: Martina Jane Nelson, LCSW, LAC,CMHP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LAC,CMHP
Enumeration Date: Aug 3, 2006
Last Updated: Nov 13, 2009

Practice Location

Address: 603 CALIFORNIA AVE
City: Libby
State: Montana
ZIP Code: 59923-1901
Phone: (406) 293-7116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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