Individual
VICTOR HERMAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
55 E 100 N, SUITE 204, LOGAN, UT 84321-4661
(435) 994-0024
Mailing address
PO BOX 13, MENDON, UT 84325-0013
(435) 994-0024
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
117207-3902
UT
Other
Enumeration date
12/21/2008
Last updated
12/21/2008
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