Individual
MR. DOUG E NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1466 N HIGHWAY 89 STE 220, FARMINGTON, UT 84025-2738
(801) 451-0475
Mailing address
PO BOX 1219, EDEN, UT 84310-1219
(801) 745-3233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
266439-3501
UT
251S00000X
Community/Behavioral Health Agency
266439-3501
UT
Other
Enumeration date
04/23/2007
Last updated
09/11/2025
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