Individual
MRS. FARRAH DAWN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
2303 N 1420 W, PLEASANT GROVE, UT 84062-5029
(801) 400-4731
Mailing address
2303 N 1420 W, PLEASANT GROVE, UT 84062-5029
(801) 400-4731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13591394-6004
UT
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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