Individual
PATRICIA J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1354 E 3300 S STE 100, SALT LAKE CITY, UT 84106-3083
(801) 265-8000
(801) 265-8004
Mailing address
1354 E 3300 S STE 100, SALT LAKE CITY, UT 84106-3083
(801) 265-8000
(801) 265-8004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6481952-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003997701
ACES
UT
Enumeration date
03/14/2018
Last updated
07/18/2024
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