Stephen Nelson

NPI #1982051694 in Idaho Falls, Idaho

Provider Information

NPI Number: 1982051694
Entity Type: Individual
Name: Stephen Nelson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: May 23, 2016
Last Updated: May 23, 2016

Practice Location

Address: 1582 N HOLMES AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83401-2032
Phone: (208) 529-8832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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