Individual
MS. LINBA ANN BEERYMORENO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
VALLEY MENTAL HEALTH/TOOELE UNIT, 100 S 1000 W, TOOELE, UT 84074
(435) 843-3520
(435) 843-3555
Mailing address
764 LAKEVIEW, STANSBURY PARK, UT 84074-9607
(435) 850-9373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1285453501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070021677101
INTERMOUNTAIN HEALTH CARE
UT
01
—
591450
DESERET MUTUAL
UT
01
—
942938348006
CHAMPUS
UT
Enumeration date
01/26/2006
Last updated
07/08/2007
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