Individual
CHRISTINE MARIE HERZOG COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHCE
Contact information
Practice address
1407 N 2000 W, SUITE D, CLINTON, UT 84015-8562
(801) 855-7999
Mailing address
109 S SHERWOOD DR, PROVIDENCE, UT 84332-9687
(801) 547-7101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9674369-6010
UT
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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