| Linda C Nelson, Ma Lp, Llc | |
|
17306 Calico Hill Rd Altura MN 55910-4223 | |
| (612) 379-2640 | |
| (612) 379-2820 |
| Full Name | Linda C Nelson, Ma Lp, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17306 Calico Hill Rd, Altura, Minnesota |
| Authorized Official Name and Position | Linda C Nelson (OWER, PSYCHOLOGIST) |
| Authorized Official Contact | 6123792640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda C Nelson, Ma Lp, Llc 17306 Calico Hill Rd Altura MN 55910-4223 Ph: (612) 379-2640 | Linda C Nelson, Ma Lp, Llc 17306 Calico Hill Rd Altura MN 55910-4223 Ph: (612) 379-2640 |
| NPI Number | 1902536881 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902536881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |