Individual
NICHOLAS MAURICE CHEEK-O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1950 CIRCLE OF HOPE DR, BMT CLINIC, SALT LAKE CITY, UT 84112
(801) 587-4695
Mailing address
1950 CIRCLE OF HOPE DR, BMT CLINIC, SALT LAKE CITY, UT 84112
(801) 587-4695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
89474433501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89474433501
DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING - ACTIVE LICENSE REFERENCE NUM
UT
Enumeration date
06/12/2020
Last updated
12/03/2021
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