Individual
CHRISTINE C OSMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5983 KINGSFORD AVE, PARK CITY, UT 84098-6315
(303) 917-4207
Mailing address
PO BOX 3075, PARK CITY, UT 84060-3075
(303) 917-4207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12795149-6004
UT
101YP2500X
Professional Counselor
0153561
NM
101YP2500X
Professional Counselor
4525
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02807513
—
CO
Enumeration date
05/01/2007
Last updated
01/03/2024
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