# FAMILY INSTITUTE OF NORTHERN UTAH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427494244
- **Authorized official:** JEANNINE NIELSON LMFT (DIRECTOR)
- **Authorized official phone:** (435) 752-1976

## Contact information

- **Practice address:** 170 PIONEER AVENUE, LOGAN, UT 84321-9999
- **Practice address phone:** (435) 752-1976
- **Practice address fax:** (435) 755-6707
- **Mailing address:** 190 E CENTER ST, LOGAN, UT 84321-4607
- **Mailing address phone:** (435) 752-1976
- **Mailing address fax:** (435) 755-6707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2013
- **Last updated:** 05/20/2013