TODD R NELSON

INDIO, CA
NPI1417200924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RA9890314)
Enumeration Date2012-10-22
Last Update Date2016-04-01
Business Address
-- TODD R NELSON CADCII
45550 GRACE ST
INDIO, CA 92201-4610
Phone number: 513-967-6834
Mailing Address
-- TODD R NELSON CADCII
45550 GRACE ST
INDIO, CA 92201-4610
Phone number: 513-967-6834
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