Stacy Lynn Nickels, BS
NPI #1013496371 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1013496371
- Entity Type
- Individual
- Name
- Stacy Lynn Nickels, BS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- BS
- Enumeration Date
- Aug 8, 2018
- Last Updated
- Aug 8, 2018
Practice Location
- Address
- 4000 S 700 E STE 9
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84107-2581
- Phone
- (801) 635-4141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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