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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JENNIFER MARIE NELSON, MA

Active Sole Proprietor

MS. JENNIFER MARIE NELSON, MA is a Community/Behavioral Health healthcare provider located in GOLDEN VALLEY, Minnesota. NPI 1912925017 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · GOLDEN VALLEY, MN

Registration Details

NPI Number
1912925017
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2006 (20.052101462821 yrs)
Last Updated
Aug 27, 2021
Licenses
LH00008407 (WA)
CP60181716 (WA)
LH00008407 (WA)
00212 (MN)
LH00008407 (WA)
Sole Proprietor
Yes

Practice Information

Address
8085 WAYZATA BLVD SUITE 215
GOLDEN VALLEY, MN, 55426
Browse MN providers · Browse ZIP 55426
Phone
2069472645
Fax
6514932798
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.