Individual
ROBERT A NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MFT
Contact information
Practice address
4270 W 5625 N, ROOSEVELT, UT 84066-4824
(435) 353-4498
(435) 353-4898
Mailing address
4270 W 5625 N, ROOSEVELT, UT 84066-4824
(435) 353-4498
(435) 353-4898
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
278057-3902
UT
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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