Individual
CHANEL KATHLEEN JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 N 500 W, LEHI, UT 84043-1104
(801) 382-8676
Mailing address
838 N 2400 W, PROVO, UT 84601-1228
(801) 380-1429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
05/15/2025
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