Walter William Nielson JR.
Mental Health Counselor
1234 Empire St
Fairfield
, California 94533-5711
Walter William Nielson JR.
Mental Health Counselor
1234 Empire St
Fairfield
, California 94533-5711
(925) 961-7868
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Walter William Nielson JR.
- 1191 Schofield Ct
- Concord, CA
- Zip : 94520-4019
- Phone : (925) 961-7868
Second Address
- Walter William Nielson JR.
- 1234 Empire St
- Fairfield, CA
- Zip : 94533-5711
- Phone : (707) 439-7830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 116511 | CA |
| N | 101YM0800X | Mental Health Counselor | IMF78099 | CA |
National Provider Identifier
| NPI | 1003183088 |
|---|---|
| Provider Name | Walter William Nielson JR. |
| First Address | Concord, CA 94520-4019 |
| Second Address | Fairfield, CA 94533-5711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2011 |
| Last Update Date | 05/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.