MEDICARE: MRS. SARAH JULIA NELSON M.S.

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	101YP2500X	Professional Counselor	142	MN
2	106H00000X	Marriage & Family Therapist	1682	MN

General Provider Information

NPI Number	:	1649450404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH JULIA NELSON M.S.

Provider Business Mailing Address
First Line	:	1101 LINDEN LN
Second Line	:
City	:	FARIBAULT
State	:	MN
Zip	:	55021-6400
Country	:	US
Telephone Number	:	507-332-4465
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 LINDEN LN
Second Line	:
City	:	FARIBAULT
State	:	MN
Zip	:	55021-6400
Country	:	US
Telephone Number	:	507-332-4465
Fax Number	:

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

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	03/13/2026

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