Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prof. Ivan Louis Nelson, LADC, CPP

Individual provider Professional Counselor · NPI 1023680436

Prof. Ivan Louis Nelson, LADC, CPP is a Professional Counselor in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

34 Moreland Ave E
Saint Paul, MN 55118-2444
Phone: (612) 306-3416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 304554 (MN)

Record details

NPI number1023680436
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , CPP
Sole proprietorYes
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJuly 2, 2021

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