Individual
STEPHANIE FAE COWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
91 E FORT UNION BLVD, MIDVALE, UT 84047-1531
(801) 508-4767
Mailing address
11743 S CURRENT CREEK DR, SOUTH JORDAN, UT 84095-7970
(801) 634-9905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10183172
UT
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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