DENNIS NELSON BS, LADC
NPI 1003197567
Counselor - Addiction (Substance Use Disorder) in Prior Lake, MN
Active since August 29, 2011
About Dennis Nelson Bs, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENNIS NELSON BS, LADC (NPI 1003197567) is an individual addiction (substance use disorder) provider in Prior Lake, Minnesota, licensed in Minnesota (300740) and active in the NPI registry since August 2011.
NPPES Registry Identity
NPI1003197567
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDENNIS NELSONCredential: BS, LADC
Location Address2330 SIOUX TRL NWPrior Lake, MN 55372-9077
Mailing Address2330 Sioux Trl NwPrior Lake, MN 55372-9077 · (952) 496-6164
Phone(952) 496-6164
Sole ProprietorNo
Enumeration DateAugust 29, 2011
✔ NPI 1003197567 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 300740
2330 SIOUX TRL NW, Prior Lake, MN 55372
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Radiologic Technologist (Mammography)
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
PRIOR LAKE, MN 55372
Counselor (Addiction (Substance Use Disorder))
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
PRIOR LAKE, MN 55372
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003197567, enumerated as an "individual" on August 29, 2011.
The provider is located at 2330 SIOUX TRL NW PRIOR LAKE, MN 55372 and the phone number is (952) 496-6164.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
