Individual
MRS. JUSTINE S STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
(801) 778-6871
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
(801) 778-6871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
367850-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
03/30/2007
Last updated
07/08/2007
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