Individual
MRS. CRYSTAL LYNN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
4431 8200 S, WEST JORDAN, UT 84088
(801) 280-8111
Mailing address
3974 SCARSBOROUGH LANE, WEST JORDAN, UT 84084
(801) 648-5793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10422200-6009
UT
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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