Amanda Susan Nelson
Counselor in North Bend, OR. Individual provider (NPI-1).
NPI number1982158473
StatusActive
Last updated in NPPESAug 12, 2016
Details
- NPI
- 1982158473
- Entity type
- Individual (NPI-1)
- Name
- Amanda Susan Nelson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2016
- Last updated
- Aug 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1913 Meade StNorth Bend, OR 97459-3432
Phone 541-756-4508
Mailing address
715 Sw Ramsey AveGrants Pass, OR 97527-5500
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