Nelson, Jennifer Marie

Nelson, Jennifer Marie is an sole proprietor health care provider with primary practice located at 8085 Wayzata Blvd Suite 215 , Golden Valley MN 55426. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Nelson, Jennifer Marie can be contacted via phone (206) 947-2645.

Contact Information

Primary practice address
8085 Wayzata Blvd Suite 215 Golden Valley MN 55426
Phone: (206) 947-2645
Fax: (651) 493-2798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LH00008407 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60181716 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00008407 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X 00212 Minnesota
Agencies / Community/Behavioral Health 251S00000X LH00008407 Washington
Agencies / Community/Behavioral Health 251S00000X 02466 Minnesota

Profile Details

NPI number 1912925017
LBN Legal business name Nelson, Jennifer Marie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Aug 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912925017 NPPES
Washington MEDICAID 1912925017

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