Provider Demographics
NPI:1346455482
Name:NELSON, WOLF & ASSOCIATES
Entity Type:Organization
Organization Name:NELSON, WOLF & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PRESTON
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:970-353-5577
Mailing Address - Street 1:1019 39TH AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-2501
Mailing Address - Country:US
Mailing Address - Phone:970-353-5577
Mailing Address - Fax:970-356-7280
Practice Address - Street 1:1019 39TH AVE
Practice Address - Street 2:SUITE C
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2501
Practice Address - Country:US
Practice Address - Phone:970-353-5577
Practice Address - Fax:970-356-7280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1626101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty