JOENE NICOLAISEN

Counselor - Professional

Active Individual
NPI: 1417052515

Practice Address

6526 S STATE ST
404
Murray, UT 84107

Phone: (801) 313-6814

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 5052659-6004 (UT)

Frequently Asked Questions

NPI 1417052515 is the National Provider Identifier for JOENE NICOLAISEN, a Counselor - Professional provider located in Murray, UT. This NPI was enumerated on September 13, 2006.
JOENE NICOLAISEN practices at 6526 S STATE ST, 404, Murray, UT 84107.

Quick Facts

NPI
1417052515
Type
Individual
Enumerated
Sep 13, 2006
Last Updated
Jul 8, 2007

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