Individual
MS. LAURIE A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
15419 S EAGLE CREST DR, DRAPER, UT 84020-5708
(240) 426-2528
Mailing address
15419 S EAGLE CREST DR, DRAPER, UT 84020-5708
(240) 426-2528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10542096-6004
UT
101YP2500X
Professional Counselor
006142
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M326
PROFESSIONAL PROVIDER
MD
Enumeration date
05/23/2007
Last updated
03/09/2025
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