| 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 |