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Individual

MR. ALEX FRANKLIN RUNOLFSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMHC

Contact information

Practice address
535 E 4500 S, SUITE D 280, SALT LAKE CITY, UT 84107-2929
(801) 809-6011
Mailing address
2220 E MURRAY HOLLADAY RD APT 186, HOLLADAY, UT 84117-5394
(801) 809-6011

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
167775560
UT

Other

Enumeration date
08/05/2013
Last updated
02/23/2017
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