Individual
LANAE KIMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1418 E 6150 S, OGDEN, UT 84405-6773
(801) 920-6770
Mailing address
1418 E 6150 S, OGDEN, UT 84405-6773
(801) 920-6770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5819102-6004
UT
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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