Individual
MRS. KRISTINA COURT HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 W MAIN ST, LEHI, UT 84043-2100
(801) 528-3247
(801) 753-0409
Mailing address
130 W MAIN ST, LEHI, UT 84043-2100
(801) 528-3247
(801) 753-0409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
359524-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770721300
—
UT
Enumeration date
07/28/2010
Last updated
07/28/2010
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