Nelsen, Amanda Jill

Nelsen, Amanda Jill is an individual health care provider with primary practice located at 1262 W 12700 S Suite D, Riverton UT 84065-7798. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nelsen, Amanda Jill can be contacted via phone (801) 302-8146.

Contact Information

Primary practice address
1262 W 12700 S Suite D Riverton UT 84065-7798
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7022103-6004 Utah

Profile Details

NPI number 1427359611
LBN Legal business name Nelsen, Amanda Jill
Credentials MED, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2010
Last updated May 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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