MEDICARE: ROBERT WILLIAM NELSON JR. MENTAL HEALTH WORKER

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1740355114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT WILLIAM NELSON JR. MENTAL HEALTH WORKER

Provider Business Mailing Address
First Line	:	590 RIO LINDO AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-1817
Country	:	US
Telephone Number	:	181-820-6036
Fax Number	:	530-345-0261

Provider Business Practice Location Address
First Line	:	590 RIO LINDO AVE
Second Line	:	590 RIO LINDO
City	:	CHICO
State	:	CA
Zip	:	95926-1817
Country	:	US
Telephone Number	:	530-345-3349
Fax Number	:	530-345-0261

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	09/01/2009

Similar Medicare Providers

1447189279 — ANGEL VAZQUEZ
Practice Location Address:

584 RIO LINDO AVE
CHICO, CA
95926-1817

Practice Phone: 530-345-3491
Practice Fax:

1609756667 — ILIANA RYANNE TOWNSEND-SEIDEL
Practice Location Address:

592 RIO LINDO AVE
CHICO, CA
95926-1817

Practice Phone: 530-891-2775
Practice Fax:

1477557908 — DR. LOIS A JENSEN M.D.
Practice Location Address:

590 RIO LINDO AVE
CHICO, CA
95926-1817

Practice Phone: 530-345-3491
Practice Fax:

1457386542 — DR. MARK K DOLLINGER D.C.
Practice Location Address:

578 RIO LINDO AVE , SUITE 2
CHICO, CA
95926-1817

Practice Phone: 530-891-1391
Practice Fax:

1669495107 — BETH REID NP
Practice Location Address:

590 RIO LINDO AVE
CHICO, CA
95926-1817

Practice Phone: 530-897-0562
Practice Fax: 530-345-0261

1922174366 — EULA J MOFFETT
Practice Location Address:

592 RIO LINDO AVE
CHICO, CA
95926-1817

Practice Phone: 530-891-2810
Practice Fax: 530-891-2752

Directions to “ ROBERT WILLIAM NELSON JR. MENTAL HEALTH WORKER” 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.