Penelope Ivy Nelson, LADC | |
132 1st Ave Se, Winnebago, MN 56098-1052 | |
(612) 877-0276 | |
Not Available |
Full Name | Penelope Ivy Nelson |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 132 1st Ave Se, Winnebago, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710640032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 305553 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Penelope Ivy Nelson, LADC 132 1st Ave Se, Winnebago, MN 56098-1052 Ph: (612) 877-0276 | Penelope Ivy Nelson, LADC 132 1st Ave Se, Winnebago, MN 56098-1052 Ph: (612) 877-0276 |
Ms. Hope Desiree'-alcott Meehan, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 Cleveland Ave W, Winnebago, MN 56098 Phone: 507-893-3535 | |
Michelle Renee Nyman Mckinley, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 38698 Highway 109, Winnebago, MN 56098 Phone: 507-405-7305 |