Individual
NICE POULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
517 S OREM BLVD STE 203, OREM, UT 84058-3101
(801) 615-9908
Mailing address
517 S OREM BLVD STE 203, OREM, UT 84058-3101
(801) 615-9908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9662021-6019
UT
1041C0700X
Clinical Social Worker
Primary
9662021-3501
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/08/2014
Last updated
05/11/2026
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