Individual
BECKY BYTHEWAY WENGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1675 N FREEDOM BLVD STE 6A, PROVO, UT 84604-2555
(435) 200-1912
Mailing address
1675 N FREEDOM BLVD STE 6A, PROVO, UT 84604-2555
(435) 200-1812
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11043156-3902
UT
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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