| Doctor Name: | MR. ALEXANDER SCOTT NELSON |
| NPI Number: | 1013339027 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CDPT, MA, CAAR |
| License Number: | CO60439856 |
| Business Practice Address: | 8514 W Gage Blvd Ste G Kennewick, WA - 993368108 |
| Business Phone Number: | 5092221275 |
| Business Fax Number: | 5094913031 |
| Mailing Address: | 8514 W Gage Blvd Ste G, KENNEWICK |
| State: | WA |
| Postal Code: | 993368108 |
| Phone Number: | 5092221275 |
| Fax Number: | 5094913031 |
| NPI Enumeration Date: | 01/09/2014 |
| NPI Last Update Date: | 01/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CO60439856 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |