SHANE LEE NELSON

SPRINGFIELD, OR
NPI1417462813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-12-07
Last Update Date2020-06-01
Business Address
SHANE LEE NELSON
288 MILL ST BLDG N
SPRINGFIELD, OR 97477-4597
Phone number: 541-942-3939
Mailing Address
SHANE LEE NELSON
4943 E ST
SPRINGFIELD, OR 97478-6047
Phone number:
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