Individual
KRISTINE JOLLEY LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
3280 WEST 3500 SOUTH, SUITE E, WEST VALLEY CITY, UT 84119-2668
(801) 979-1351
Mailing address
150 GOLF COURSE RD, SUITE E, LOGAN, UT 84321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11552307-6009
UT
Other
Enumeration date
10/12/2018
Last updated
07/05/2023
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