| Connie L Nelson Inc | |
|
3801 W Technology Cir Sioux Falls SD 57106-4233 | |
| (605) 310-6040 | |
| Not Available |
| Full Name | Connie L Nelson Inc |
|---|---|
| Speciality | Counselor |
| Location | 3801 W Technology Cir, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Connie Nelson (PROVIDER/OWNER) |
| Authorized Official Contact | 6053106040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connie L Nelson Inc 3801 W Technology Cir Sioux Falls SD 57106-4233 Ph: (605) 310-6040 | Connie L Nelson Inc 3801 W Technology Cir Sioux Falls SD 57106-4233 Ph: (605) 310-6040 |
| NPI Number | 1073310140 |
|---|---|
| Provider Enumeration Date | 02/26/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Medicare PECOS PAC ID | 6709300072 |
|---|---|
| Medicare Enrollment ID | O20250408001834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073310140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Connie Lee Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629061221 PECOS PAC ID: 7517481880 Enrollment ID: I20250408001889 |
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