Individual
JACQUELINE A NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9035 S 1300 E, SUITE B120, SANDY, UT 84094-3132
(801) 341-2001
(801) 341-2002
Mailing address
9035 S 1300 E, SUITE B120, SANDY, UT 84094-3132
(801) 341-2001
(801) 341-2002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6797716-6004
UT
Other
Enumeration date
04/09/2010
Last updated
03/12/2014
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