Individual
KRISTEN STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
150 E 700 S, SLC, UT 84111-3806
(801) 364-8080
Mailing address
574 E FIREICE ROSE LN, SANDY, UT 84070-2801
(570) 470-7936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87378866009
UT
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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