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NPI Code Detail

MEDICARE: DR. JEFFREY S NELSON PHD, LMHC

MEDICARE: DR. JEFFREY S NELSON PHD, LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH1970FL

General Provider Information

NPI Number : 1326067943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY S NELSON PHD, LMHC
Provider Business Mailing Address
First Line : 6683 BALLINGER AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92119-1822
Country : US
Telephone Number : 619-600-2294
Fax Number :
Provider Business Practice Location Address
First Line : 1738 S TREMONT ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5309
Country : US
Telephone Number : 760-439-2800
Fax Number : 760-433-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 04/03/2013

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