Individual
SUNNY LEE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
20428 W 6250 N, MOUNTAIN HOME, UT 84051-8405
(801) 209-6108
Mailing address
HC 65 BOX 510008, MOUNTAIN HOME, UT 84051-9700
(801) 209-6108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5265255-6009
UT
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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