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Individual

MS. STEFANIE MINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
525 E 100 S STE 120, SALT LAKE CITY, UT 84102-2070
(801) 483-2447
(801) 486-8705
Mailing address
PO BOX 520496, SALT LAKE CITY, UT 84152-0496
(801) 918-4432

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
7690381-6004
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
7690361-6004
UT
101YM0800X
Mental Health Counselor
7690361-6004
UT
101YP2500X
Professional Counselor
Primary
7690361-6004
UT
106H00000X
Marriage & Family Therapist
7690361-6004
UT

Other

Enumeration date
08/28/2009
Last updated
08/03/2010
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