Individual
MS. JENNIFER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1855 MEDICAL DR, SALT LAKE CITY, UT 84112-1108
(801) 582-5534
(801) 582-5540
Mailing address
1855 MEDICAL DR, SALT LAKE CITY, UT 84112-1108
(801) 582-5534
(801) 582-5540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
343223-6004
UT
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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