Individual
MRS. LAUREL D PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
545 W 500 S, SUITE 110, BOUNTIFUL, UT 84010-8105
(801) 296-0223
(801) 296-0240
Mailing address
6812 HUNTER VALLEY DR, WEST VALLEY CITY, UT 84128-1164
(801) 252-7578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
373070-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373070-6004
LICENSE
UT
Enumeration date
02/02/2006
Last updated
07/08/2007
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