Individual
MRS. TAMARA OKELBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CMHC
Contact information
Practice address
2613 S 8800 W, MAGNA, UT 84044-1238
(801) 228-8966
Mailing address
2613 S 8800 W, MAGNA, UT 84044-1238
(801) 228-8966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCPC-3657
ID
101YM0800X
Mental Health Counselor
Primary
140534-6004
UT
104100000X
Social Worker
140534-3503
UT
104100000X
Social Worker
LSW24292
ID
Other
Enumeration date
04/13/2007
Last updated
09/02/2024
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