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MS. CONNIE LEE NELSON MA QMHP LPCMH CCDC

Addiction Substance Use Disorder

Sioux Falls, South Dakota

Provider NPI: 1629061221

Provider Information:
MS. CONNIE LEE NELSON MA QMHP LPCMH CCDC
Gender: F
Sole Proprietor


Practice Location:
2210 S BROWN PLACE  SIOUX FALLS, SD 57105 US
Tel: 605-332-1700  Fax: 605-336-9031

Business Mailing Address:
2210 S BROWN PL  SIOUX FALLS, SD 57105 US
Tel: 605-332-1700  Fax: 605-336-9031

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
45265
N101YA0400XBehavioral Health & Social Service Providers
Counselor
SD9605696
N101YA0400XBehavioral Health & Social Service Providers
Counselor
ICADC2245
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
SDLPCMH2116

Other Provider Identifiers:

IssuerNumberStateType
6576132SD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS SD - Page 1



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