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Individual

BOONE R CHRISTIANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
3210 N CANYON RD STE 204, PROVO, UT 84604-5608
(385) 241-1046
Mailing address
717 E 3230 N, PROVO, UT 84604-4727
(385) 241-1046

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
11907887-3902
UT
106H00000X
Marriage & Family Therapist
Primary
11907887-3904
UT

Other

Enumeration date
07/09/2022
Last updated
09/13/2022
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