Individual
HOLLY JOY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11894 S LANDOU DR, DRAPER, UT 84020-6805
(801) 362-0326
Mailing address
11894 S LANDOU DR, DRAPER, UT 84020-6805
(801) 362-0326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164073086
—
UT
Enumeration date
05/22/2020
Last updated
05/22/2020
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