Individual
DR. BETH KATHLEEN RAKKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1545 E 3300 S, SALT LAKE CITY, UT 84106-3370
(801) 478-2780
(801) 478-2781
Mailing address
2268 WINDSOR ST, SALT LAKE CITY, UT 84106-1824
(801) 478-2780
(801) 478-2781
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
369437-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S91180
STERLING
UT
Enumeration date
10/26/2005
Last updated
07/08/2007
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