STACY LYNN NICKELS

SALT LAKE CITY, UT
NPI1013496371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-08
Last Update Date2018-08-08
Business Address
STACY LYNN NICKELS BS
4000 S 700 E STE 9
SALT LAKE CITY, UT 84107-2581
Phone number: 801-635-4141
Mailing Address
STACY LYNN NICKELS BS
4000 S 700 E STE 9
SALT LAKE CITY, UT 84107-2581
Phone number: 801-635-4141