Individual
MAREN MAURINE ERNSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1481 E PIONEER RD, DRAPER, UT 84020-9623
(801) 661-4875
Mailing address
1481 E PIONEER RD, DRAPER, UT 84020-9623
(801) 661-4875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8152182-6004
UT
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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