Anna Dora Nelson

Individual provider Active NPI Mental Health Counselor · Lafayette, OR

NPI 1750688263 · NPPES record last updated Feb 17, 2011

Key facts

NPI
1750688263
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1216 N Tyler CT
Lafayette, OR 97127-9246
Phone
(503) 857-5919
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1216 N Tyler CT
Lafayette, OR 97127-9246

Mailing address

1216 N Tyler CT
Lafayette, OR 97127-9246
Phone (503) 857-5919

Other providers in Lafayette, OR

All providers in Lafayette, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.