Individual
MRS. INGRID C NALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 E TABERNACLE ST STE 200, ST GEORGE, UT 84770-2968
(435) 229-8936
Mailing address
1178 E 300 S APT C106, ST GEORGE, UT 84790-2092
(435) 229-8936
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5588643-6018
UT
101YM0800X
Mental Health Counselor
5588643-6010
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013314696
DRIVERS LICENSE
UT
Enumeration date
10/05/2022
Last updated
10/05/2022
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