Individual
CLARA SOBRAL HINCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 S 250 W APT A, PROVO, UT 84601-5991
(801) 615-6403
Mailing address
141 W 1ST N, RIGBY, ID 83442-1301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
360347-3501
—
101YM0800X
Mental Health Counselor
360347-3501
UT
1041C0700X
Clinical Social Worker
Primary
360347-3501
UT
Other
Enumeration date
05/09/2020
Last updated
05/09/2020
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