Individual provider · Type 1 NPI

Stacy Lynn Nickels, BS

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1013496371 Active

Practice location

4000 S 700 E Ste 9
Salt Lake City, UT 84107-2581

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013496371

Stacy Lynn Nickels, BS's National Provider Identifier is 1013496371, issued on Aug 8, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 8, 2018.