Individual
ARCHIE DEE EGBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
359 E 1200 S, OREM, UT 84058-6904
(801) 921-1200
Mailing address
359 E 1200 S, OREM, UT 84058-6904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3083676-6004
UT
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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