person
Mr. Jonathan Scott Nelson, LCPC
Professional Counselor in Rockford, Illinois
NPI 1497982151

Jonathan Scott Nelson is a Professional Counselor based in Rockford, IL and is specialized in Professional. Jonathan Scott Nelson practices in Rockford, IL and has the professional credentials of LCPC. The NPI Number for Jonathan Scott Nelson is 1497982151 and holds a License No. 25596 (Illinois).

The current practice location address for Jonathan Scott Nelson is 129 Phelps Ave Ste 204, Rockford, IL and can be reached out via phone at 815-222-3958 and via fax at 815-394-3990.

Location: 129 Phelps Ave Ste 204, Rockford, IL, 61107-5302
person
Provider Profile Details
NPI Number
1497982151
Provider Name
Jonathan Scott Nelson
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
129 Phelps Ave Ste 204, Rockford, IL, 61107-5302
Phone Number
815-222-3958
Fax Number
815-394-3990
Provider Enumeration Date
06/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
129 Phelps Ave Ste 204
City
State
Zip
61108-2447
Phone Number
815-222-3958
Fax Number
815-394-3990
person
Provider Business Mailing Address Details
Address
129 Phelps Ave Ste 204
City
State
Zip
61108-2447
Phone Number
815-222-3958
Fax Number
815-394-3990
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180-007240 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
25596 (Illinois)
Definition
Definition to come...
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