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NPI Code Detail

MEDICARE: ELAINE NELSON MS, LMFT, LCADC

MEDICARE:   ELAINE  NELSON  MS, LMFT, LCADC
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 Counselor01204NV
2101YA0400XAddiction (Substance Use Disorder) Counselor00320-LCNV

General Provider Information

NPI Number : 1558642223
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE NELSON MS, LMFT, LCADC
Provider Business Mailing Address
First Line : 2520 SAINT ROSE PKWY
Second Line : SUITE 203/202B
City : HENDERSON
State : NV
Zip : 89074-7783
Country : US
Telephone Number : 702-302-0110
Fax Number :
Provider Business Practice Location Address
First Line : 2520 SAINT ROSE PKWY
Second Line : SUITE 203/202B
City : HENDERSON
State : NV
Zip : 89074-7783
Country : US
Telephone Number : 702-302-0110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 07/10/2015

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