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Individual

DR. MARK A DENNISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, LPC

Contact information

Practice address
3146 N 450 E, NORTH OGDEN, UT 84414-1612
(801) 388-1650
(801) 216-4212
Mailing address
3146 N 450 E, NORTH OGDEN, UT 84414-1612
(801) 388-1650
(801) 216-4212

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 4790346-6004
UT
101YM0800X
Mental Health Counselor
LPC 978
WY
101YM0800X
Mental Health Counselor
LPCC 0906
KY

Other

Enumeration date
10/08/2008
Last updated
10/08/2008
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