Individual
STEPHANIE PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 W 1020 S, PROVO, UT 84601-5656
(801) 810-1234
Mailing address
9300 S REDWOOD RD APT 2110, WEST JORDAN, UT 84088-6665
(385) 867-8215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14114005-6009
UT
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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