Russell Glenn Nelson
Russell Glenn Nelson is an Addiction (Substance Use Disorder) Counselor in San Luis Obispo, California. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
2180 Johnson AveSan Luis Obispo, CA 93401-4513
Phone: (805) 788-2524
Fax: (805) 788-2056
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1124298732 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2008 |
| Last updated in NPPES | October 3, 2013 |
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