Provider Information for 1881667186
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TERI LEE NIELSEN LPC, CMHC
Sex: Female
NPI: 1881667186
Last Updated: 2019-11-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1881667186 | ||||||||
| Enumeration Date | 2006-02-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1080 W GRAND CANYON DR KANAB, UT 84741-6024 United States Phone: 425-891-1896 | Fax:435-644-8577 | ||||||||
| Primary Practice Address | 1080 W GRAND CANYON DR KANAB, UT 84741-6024 United States Phone: 425-891-1896 | Fax:435-644-8577 | ||||||||
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