PROF. IVAN LOUIS NELSON LADCCPP NPI 1023680436

NPI Information

NPI: 1023680436
Provider Name: PROF. IVAN LOUIS NELSON, LADC,CPP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
34 MORELAND AVE E
SAINT PAUL, MN
ZIP 55118
Phone: (612) 306-3416
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PROF. Ivan Louis Nelson, LADC,CPP is a professional counselor in Saint Paul, MN. PROF. Ivan Louis Nelson, LADC,CPP NPI is 1023680436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34 MORELAND AVE E
SAINT PAUL, MN
ZIP 55118-444
Phone: (612) 306-3416

The enumeration date for this NPI number is 7/14/2021 and was last updated on 7/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	304554	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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