Provider Demographics
NPI:1740334499
Name:NELSON, AUNA LEANN (BA, RC)
Entity type:Individual
Prefix:
First Name:AUNA
Middle Name:LEANN
Last Name:NELSON
Suffix:
Gender:F
Credentials:BA, RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9108 LAKEWOOD DR. SW
Mailing Address - Street 2:GREATER LAKES MENTAL HEALTHCARE
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3949
Mailing Address - Country:US
Mailing Address - Phone:253-581-7020
Mailing Address - Fax:
Practice Address - Street 1:9108 LAKEWOOD DR. SW
Practice Address - Street 2:GREATER LAKES MENTAL HEALTHCARE
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-3949
Practice Address - Country:US
Practice Address - Phone:253-581-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00052917101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional