Individual
JEANNINE DEBORAH NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
965 S 100 W, SUITE 203, LOGAN, UT 84321-6062
(435) 752-1976
(435) 755-6707
Mailing address
965 S 100 W, SUITE 203, LOGAN, UT 84321-6062
(435) 752-1976
(435) 755-6707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
59832473904
UT
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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