Individual
IWALANI DIPRIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
3149 N HWY 89, 200, PLEASANT VIEW, UT 84404-1201
(801) 782-6600
(801) 782-6551
Mailing address
3149 N HWY 89, 200, PLEASANT VIEW, UT 84404-1201
(801) 782-6600
(801) 782-6551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5499509-6009
UT
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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