person
Gary L Nelson, MSW
Mental Health Counselor in Sparta, Wisconsin
NPI 1619090834

Gary L Nelson is a Mental Health Counselor based in Sparta, WI and is specialized in Mental Health. Gary L Nelson practices in Sparta, WI and has the professional credentials of MSW. The NPI Number for Gary L Nelson is 1619090834 and holds a License No. 12319 (Wisconsin).

The current practice location address for Gary L Nelson is 14301 County Highway B, Sparta, WI and can be reached out via phone at 608-269-8654.

Location: 14301 County Highway B, Sparta, WI, 54656-4509
person
Provider Profile Details
NPI Number
1619090834
Provider Name
Gary L Nelson
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
14301 County Highway B, Sparta, WI, 54656-4509
Phone Number
608-269-8654
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14301 County Highway B
City
State
Zip
54656-4509
Phone Number
608-269-8654
Fax Number
person
Provider Business Mailing Address Details
Address
14301 County Highway B
City
State
Zip
54656-4509
Phone Number
608-269-8654
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1345-123 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
12319 (Wisconsin)
Definition
Definition to come...
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