Jen Nichols

NPI #1225348063 in Draper, Utah

Provider Information

NPI Number: 1225348063
Entity Type: Individual
Name: Jen Nichols
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 14, 2010
Last Updated: Oct 14, 2010

Practice Location

Address: 13073 WHEATFIELD WAY
City: Draper
State: Utah
ZIP Code: 84020-9253
Phone: (801) 495-0946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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