Individual
MRS. KELLY PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHCE
Contact information
Practice address
1426 E 820 N, OREM, UT 84097-5481
(385) 309-1038
Mailing address
1426 E 820 N, OREM, UT 84097-5481
(385) 309-1038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11370315-6009
UT
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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