MEDICARE: JACQUELINE ROSE NELSON MA, 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
1	101YM0800X	Mental Health Counselor	LH60945013	WA

General Provider Information

NPI Number	:	1336630235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE ROSE NELSON MA, LMHC

Provider Business Mailing Address
First Line	:	1717 W FRANCIS AVE STE 204
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-6858
Country	:	US
Telephone Number	:	509-795-0988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 W FRANCIS AVE STE 204
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-6858
Country	:	US
Telephone Number	:	509-795-0988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2018
Last Update Date	:	08/21/2023

Similar Medicare Providers

1114861796 — LISA R GROSSMAN PHD PLLC
Practice Location Address:

1717 W FRANCIS AVE STE 204
SPOKANE, WA
99205-6858

Practice Phone: 509-285-1615
Practice Fax: 509-905-3638

1295996494 — MRS. BRENDA M STOUDT ARNP
Practice Location Address:

1717 W FRANCIS AVE STE 104
SPOKANE, WA
99205-6858

Practice Phone: 509-230-3914
Practice Fax: 509-464-6959

1538310651 — BACK IN MOTION, P.S.
Practice Location Address:

1717 W FRANCIS AVE , STE 202
SPOKANE, WA
99205-6858

Practice Phone: 509-443-3535
Practice Fax: 509-413-2804

1417437542 — MIND OVER MATTER MENTAL HEALTH, LLC
Practice Location Address:

1717 W FRANCIS AVE STE 204
SPOKANE, WA
99205-6858

Practice Phone: 509-934-1925
Practice Fax: 509-868-0874

1699310953 — REBECCA MCMANUS LMHC
Practice Location Address:

1717 W FRANCIS AVE STE 204
SPOKANE, WA
99205-6858

Practice Phone: 509-990-0196
Practice Fax:

1366318065 — WEECARE PEDIATRICS PLLC
Practice Location Address:

1717 W FRANCIS AVE STE 104
SPOKANE, WA
99205-6858

Practice Phone: 509-230-3914
Practice Fax: 509-464-6959

Directions to “ JACQUELINE ROSE NELSON MA, LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.