RUSSELL NELSON

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1124298732

Practice Address

2180 JOHNSON AVE
San Luis Obispo, CA 93401

Phone: (805) 788-2524

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1124298732 is the National Provider Identifier for RUSSELL NELSON, a Counselor - Addiction (Substance Use Disorder) provider located in San Luis Obispo, CA. This NPI was enumerated on March 11, 2008.
RUSSELL NELSON practices at 2180 JOHNSON AVE, San Luis Obispo, CA 93401.

Quick Facts

NPI
1124298732
Type
Individual
Enumerated
Mar 11, 2008
Last Updated
Oct 3, 2013

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