Individual
MS. WHITNEY ALLYSE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
1140 36TH ST STE 260, OGDEN, UT 84403-2056
(801) 392-0310
Mailing address
4918 S 5400 W, HOOPER, UT 84315-9578
(801) 644-4309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12429831-6009
UT
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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