Individual
CATHERINE ANN LEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
66 N 180 W, EPHRAIM, UT 84627-2130
(435) 283-0164
(435) 283-2213
Mailing address
66 N 180 W, EPHRAIM, UT 84627-2130
(435) 283-0164
(435) 283-2213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467745941
—
UT
05
—
1801104054
—
UT
Enumeration date
10/05/2017
Last updated
10/14/2017
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