Individual
RYAN S NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
1258 W SOUTH JORDAN PKWY, SUITE 202, SOUTH JORDAN, UT 84095-4711
(801) 225-1155
(801) 255-0281
Mailing address
1258 W SOUTH JORDAN PKWY, SUITE 202, SOUTH JORDAN, UT 84095-4711
(801) 225-1155
(801) 255-0281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
311404-6009
UT
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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