Individual
BAILEY JEAN NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 SIDEWINDER DR STE 100, PARK CITY, UT 84060-7563
(435) 658-9998
Mailing address
1820 SIDEWINDER DR STE 100, PARK CITY, UT 84060-7563
(435) 658-9998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10437017-6009
UT
Other
Enumeration date
10/19/2023
Last updated
03/09/2026
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