Jonathan Scott Nelson, LCPC
Counselor, Professional in Rockford, IL. Individual provider (NPI-1).
NPI number1497982151
StatusActive
Last updated in NPPESJan 30, 2023
Details
- NPI
- 1497982151
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonathan Scott Nelson
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2009
- Certification date
- Jan 30, 2023
- Last updated
- Jan 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180-007240 | IL | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 25596 | IL | |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
129 Phelps Ave Ste 204Rockford, IL 61108-2447
Phone 815-222-3958 · Fax 815-394-3990
Mailing address
478 Cross Plains RdRockford, IL 61107-5302
Phone 815-222-3958 · Fax 815-394-3990
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