Individual
MRS. BONITA GRAY KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
8160 HIGHLAND DR, BUILDING A, SANDY, UT 84093-6492
(801) 831-4339
Mailing address
8160 HIGHLAND DR, BUILDING A, SANDY, UT 84093-6492
(801) 831-4339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
313308-6004
UT
101YM0800X
Mental Health Counselor
313308-6004
UT
101YP2500X
Professional Counselor
Primary
313308-6004
UT
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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