Individual
AMANDA SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9844 S 1300 E STE 250, SANDY, UT 84094-4691
(801) 810-5037
Mailing address
9844 S 1300 E STE 250, SANDY, UT 84094-4691
(801) 810-5037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12874507-6009
UT
Other
Enumeration date
06/08/2020
Last updated
10/20/2023
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