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Organization

MELISSA NICHOLS PSYCHOTHERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA NICHOLS (OWNER)
(435) 744-4113
Entity
Organization

Contact information

Practice address
338 W 300 N, HYDE PARK, UT 84318-4044
(435) 744-4113
Mailing address
338 W 300 N, HYDE PARK, UT 84318-4044
(435) 744-4113

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/05/2023
Last updated
09/05/2023
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Product
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  • Eligibility checks
  • EDI platform