Individual
ALICEN KETTENRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5784 S 900 E STE 3, MURRAY, UT 84121-1689
(801) 432-0564
Mailing address
6617 W YAWKEY WAY, HERRIMAN, UT 84096-2971
(801) 879-3815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12623720-6004
UT
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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