NICHOLAS BLAISE MCDONALD

MILLCREEK, UT
NPI1003382110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  10903648-6009)
Enumeration Date2018-10-16
Last Update Date2018-10-16
Business Address
NICHOLAS BLAISE MCDONALD
1141 E 3900 S STE A170
MILLCREEK, UT 84124-1250
Phone number: 888-949-4864
Mailing Address
NICHOLAS BLAISE MCDONALD
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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