Individual
KJRSTIN JANETTE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
652 S 525 W, SPRINGVILLE, UT 84663-5910
(801) 706-2880
Mailing address
652 S 525 W, SPRINGVILLE, UT 84663-5910
(801) 706-2880
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7648922-3902
UT
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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