GREGORY G NELSON

APPLETON, WI
NPI1205253556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15767-131)
Enumeration Date2014-03-25
Last Update Date2014-03-25
Business Address
-- GREGORY G NELSON
607 W 7TH ST
APPLETON, WI 54911-5923
Phone number: 920-739-3235
Mailing Address
-- GREGORY G NELSON
716 MILWAUKEE ST
MENASHA, WI 54952-2236
Phone number: 920-915-3886