Individual
KAREN L DASTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
18411 CRENSHAW BLVD STE 414, TORRANCE, CA 90504-5065
(310) 225-6707
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7336931-3902
UT
106H00000X
Marriage & Family Therapist
MFC37461
CA
Other
Enumeration date
11/15/2012
Last updated
05/09/2019
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