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Individual

MRS. RACHELLE EASTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
240 N. EAST PROMONTORY #200, FARMINGTON, UT 84025
(801) 510-1434
(801) 218-3501
Mailing address
240 N. EAST PROMONTORY #200, FARMINGTON, UT 84025
(801) 510-1434
(801) 218-3501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/03/2012
Last updated
09/02/2021
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