Individual
AMANDA MICHELLE EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 E 200 S, CLEARFIELD, UT 84015-1047
(801) 779-0095
Mailing address
3070 N 1050 W, PLEASANT VIEW, UT 84414-2198
(801) 686-3524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
UT
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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