Individual
JEFF A LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3518 WASHINGTON BLVD, OGDEN, UT 84403-1034
(801) 399-1600
Mailing address
3518 WASHINGTON BLVD, OGDEN, UT 84403-1034
(801) 399-1600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
331409-3902
UT
Other
Enumeration date
01/27/2022
Last updated
04/19/2023
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