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Nicholas Blaise Mcdonald
Mental Health Counselor in Millcreek, Utah
NPI 1003382110

Nicholas Blaise Mcdonald is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. Nicholas Blaise Mcdonald practices in Millcreek, UT. The NPI Number for Nicholas Blaise Mcdonald is 1003382110 and holds a License No. 10903648-6009 (Utah).

The current practice location address for Nicholas Blaise Mcdonald is 1141 E 3900 S Ste A170, Millcreek, UT and can be reached out via phone at 888-949-4864.

Location: 1141 E 3900 S Ste A170, Millcreek, UT, 84124-3543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003382110
Provider Name
Nicholas Blaise Mcdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
1141 E 3900 S Ste A170, Millcreek, UT, 84124-3543
Phone Number
888-949-4864
Fax Number
Provider Enumeration Date
10/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1141 E 3900 S Ste A170
City
Millcreek
State
Utah
Zip
84124-1250
Phone Number
888-949-4864
Fax Number
person
Provider Business Mailing Address Details
Address
1141 E 3900 S Ste A170
City
Millcreek
State
Utah
Zip
84124-1250
Phone Number
888-949-4864
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
10903648-6009 (Utah)
Definition
Definition to come...
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