Individual
MS. TERESA LYNN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPCI
Contact information
Practice address
2319 FOOTHILL DRIVE, SUITE 275- E, SALT LAKE CITY, UT 84109-5401
(801) 463-2530
Mailing address
PO BOX 58264, SALT LAKE CITY, UT 84158-0264
(801) 463-2530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6329396-6009
UT
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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