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RUSSELL GLENN NELSON
NPI 1124298732
Counselor - Addiction (Substance Use Disorder) in San Luis Obispo, CA

Active since March 11, 2008
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 788-2524(805) 788-2056 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell Glenn Nelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL GLENN NELSON (NPI 1124298732) is an individual addiction (substance use disorder) provider in San Luis Obispo, California and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1124298732
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRUSSELL GLENN NELSON
Location Address2180 JOHNSON AVESan Luis Obispo, CA 93401-4513
Mailing Address2180 Johnson AveSan Luis Obispo, CA 93401-4513 · (805) 489-6681
Phone(805) 788-2524
Fax(805) 788-2056
Sole ProprietorYes
Enumeration DateMarch 11, 2008
Last NPPES UpdateOctober 3, 2013
✔ NPI 1124298732 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
2180 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFREY WHITE
Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-1295
SEAN MARSHALL GALLOWAY
Licensed Psychiatric Technician
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4275
ANDREW LORIMER COOK
Licensed Psychiatric Technician
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 471-4308
KONIKA ROSENBAUM MCPHERSON MFTI
Marriage & Family Therapist
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4865
ELBA M VASQUEZ
Community Health Worker
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4275
MRS. ERIN KELLY TAYLOR
Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4275
AVERY JOHN PAULSON RN, NP
Nurse Practitioner (Psychiatric/Mental Health)
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 431-1334
KATHERINE MAIREAD TREACY
Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Nelson's NPI number?

The NPI number for Russell Nelson is 1124298732. It was assigned to this individual provider in the NPPES registry on March 11, 2008.

Where is Russell Nelson located?

Russell Nelson practices at 2180 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 788-2524.

What is Russell Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Russell Nelson was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.