Individual
MR. DANIEL POULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
358 E 1200 N, OREM, UT 84057-2712
(801) 427-3310
Mailing address
566 S 1600 W, PROVO, UT 84601-3915
(801) 427-3310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
F23-97365
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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