Individual
KRISTY MATHISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 UT-198, SUITE 203, SALEM, UT 84653
(801) 382-9338
Mailing address
95 S 100 E STE 300, PAYSON, UT 84651-2253
(801) 382-9338
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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