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Individual

CATHERINE CHRISTIANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
Mailing address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12422293-6004
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12422293-6004
LICENSE
UT
Enumeration date
04/04/2024
Last updated
04/04/2024
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