Organization
ALPINE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS NIELSEN PH.D (PRESIDENT)
(801) 756-3664
Entity
Organization
Contact information
Practice address
475 W 50 N, AMERICAN FORK, UT 84003-2265
(801) 756-3664
(801) 756-3698
Mailing address
475 W 50 N, AMERICAN FORK, UT 84003-2265
(801) 756-3664
(801) 756-3698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1962
UT
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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