Individual
KYLE DERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT, BCN
Contact information
Practice address
50 E CENTER ST STE 7, MOAB, UT 84532-2473
(970) 317-4290
Mailing address
638 E 200 S, MOAB, UT 84532-2747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10844622-3902
UT
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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