Nelson, Martina Jane

Nelson, Martina Jane is an sole proprietor health care provider with primary practice located at 603 California Ave , Libby MT 59923-1901. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nelson, Martina Jane can be contacted via phone (406) 293-7116.

Contact Information

Primary practice address
603 California Ave Libby MT 59923-1901
Phone: (406) 293-7116
Fax: (406) 293-8119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 954 Montana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 799 Montana

Profile Details

NPI number 1922015536
LBN Legal business name Nelson, Martina Jane
Credentials LCSW, LAC,CMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Nov 13th, 2009 - about 17 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 1922015536 NPPES
Montana MEDICAID 0044707

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