Individual
AUTUMN LARSON HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC, MRC
Contact information
Practice address
1269 E 1900 N, NORTH LOGAN, UT 84341-2009
(435) 720-6632
Mailing address
1269 E 1900 N, NORTH LOGAN, UT 84341-2009
(435) 720-6632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
314561-6009
UT
101YM0800X
Mental Health Counselor
314561-6004
UT
Other
Enumeration date
03/19/2021
Last updated
12/04/2024
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