Individual
COURTNEY VANDERMYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY, UT 84120-7350
(385) 441-4900
Mailing address
4866 W DIAMONDLEAF WAY, WEST JORDAN, UT 84081-4759
(916) 712-1148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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