Individual
KATHRYN ELAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMFT LSAC
Contact information
Practice address
175 W 1400 N, STE A LDS FAMILY SERVICES, LOGAN, UT 84341
(435) 752-5302
(435) 753-9007
Mailing address
175 W 1400 N. STE A, LDS FAMILY SERVICES, LOGAN, UT 84341
(435) 752-5302
(435) 753-9007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3474956006
UT
106H00000X
Marriage & Family Therapist
Primary
3474953902
UT
Other
Enumeration date
10/04/2006
Last updated
07/07/2011
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