Individual
MR. JASON M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3740 MARKET CENTER DR STE 1200, RIVERTON, UT 84065-8026
(801) 240-9436
(801) 240-9452
Mailing address
3740 MARKET CENTER DR STE 1200, RIVERTON, UT 84065-8026
(801) 240-9436
(801) 240-9452
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4982451-3902
UT
106H00000X
Marriage & Family Therapist
LMFT-3504
ID
Other
Enumeration date
01/10/2007
Last updated
04/24/2012
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