Individual
ALISA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1181 CHRISTMAS BOX LANE, OGDEN, UT 84404
(801) 425-0227
Mailing address
4117 A BEDFORD CIR, HILL AIR FORCE BASE, UT 84056
(801) 678-8294
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8791054-3904
UT
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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