| Doctor Name: | MR. NIKOLAS CHERTUDI |
| NPI Number: | 1366527343 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 500556-6004 |
| Business Practice Address: | 241 W 1700 N North Ogden, UT - 844147265 |
| Business Phone Number: | 8013883535 |
| Business Fax Number: | |
| Mailing Address: | 663 W Hospital Rd, BRIGHAM CITY |
| State: | UT |
| Postal Code: | 843023021 |
| Phone Number: | 4357349449 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 500556-6004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |