Nelson, Jodi

Nelson, Jodi is an individual health care provider with primary practice located at 110 2Nd St S Ste #301, Waite Park MN 56387-1662. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Nelson, Jodi can be contacted via phone (320) 252-2976.

Contact Information

Primary practice address
110 2Nd St S Ste #301 Waite Park MN 56387-1662
Phone: (320) 252-2976
Fax: (320) 656-1570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1687 Minnesota

Profile Details

NPI number 1437339835
LBN Legal business name Nelson, Jodi
Credentials MED/LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Feb 24th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437339835 NPPES
Minnesota MEDICAID 1437339835

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