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Individual

KENNETH JOHN HOPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1141 E 3900 S, SUITE A-170, SALT LAKE CITY, UT 84124-1215
(801) 270-6534
(801) 284-4991
Mailing address
4487 ARCADIA LN, HOLLADAY, UT 84124-3507
(801) 277-7099

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
117202501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107011572101
IHC
UT
01
261747
DMBA
UT
01
942938348HO6
EDUCATOR'S MUTUAL
UT
Enumeration date
02/06/2006
Last updated
08/08/2012
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