Individual
BRIAN NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3269 S MAIN ST STE 110, SOUTH SALT LAKE, UT 84115-3789
(801) 638-2823
Mailing address
3269 S MAIN ST STE 110, SOUTH SALT LAKE, UT 84115-3789
(801) 638-2823
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
—
UT
Other
Enumeration date
11/05/2014
Last updated
05/21/2026
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