Individual
TERI LEE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CMHC
Contact information
Practice address
1080 W GRAND CANYON DR, KANAB, UT 84741-6024
(425) 891-1896
(435) 644-8577
Mailing address
1080 W GRAND CANYON DR, KANAB, UT 84741-6024
(425) 891-1896
(435) 644-8577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16973
AZ
Other
Enumeration date
02/08/2006
Last updated
11/21/2019
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