Individual
MRS. MARY JEAN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPCI
Contact information
Practice address
237 26TH STREET, OGDEN, UT 84401-3105
(801) 625-3605
(801) 625-3615
Mailing address
237 26TH STREET, OGDEN, UT 84401-3105
(801) 625-3605
(801) 625-3615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6085774-6009
UT
Other
Enumeration date
10/30/2006
Last updated
07/08/2007
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