Individual
KATHLEEN NIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
466 N MAIN ST STE 210, CLEARFIELD, UT 84015-3243
(801) 603-2547
Mailing address
PO BOX 12842, OGDEN, UT 84412-2842
(801) 603-2547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5599889-6004
UT
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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