Nelson, Jonathan Scott

Nelson, Jonathan Scott is an sole proprietor health care provider with primary practice located at 129 Phelps Ave Ste 204 , Rockford IL 61108-2447. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Nelson, Jonathan Scott can be contacted via phone (815) 222-3958.

Contact Information

Primary practice address
129 Phelps Ave Ste 204 Rockford IL 61108-2447
Phone: (815) 222-3958
Fax: (815) 394-3990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25596 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-007240 Illinois

Profile Details

NPI number 1497982151
LBN Legal business name Nelson, Jonathan Scott
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2009
Last updated Jan 30th, 2023 - about 2 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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