Individual
SHELBY NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
174 S LAKEVIEW DR, CLEARFIELD, UT 84015-2225
(385) 347-9050
Mailing address
174 S LAKEVIEW DR, CLEARFIELD, UT 84015-2225
(385) 347-9050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11757088-6004
UT
Other
Enumeration date
06/06/2011
Last updated
10/25/2024
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