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Organization

RECREATE THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AVA MARIE CRUMP HANSON MS, LMFT (OWNER/MARRIAGE AND FAMILY THERAPIST)
(435) 632-7894
Entity
Organization

Contact information

Practice address
2535 S HIGHWAY 89, STE 4, BRIGHAM CITY, UT 84302-6729
(435) 494-1214
Mailing address
275 W 1750 S, APT #1, PERRY, UT 84302-4903
(435) 494-1214

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9066126-3902
UT

Other

Enumeration date
04/27/2017
Last updated
04/27/2017
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