Individual
MRS. EMALEE COON BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, MFT
Contact information
Practice address
94 E PAGES LN, #A, CENTERVILLE, UT 84014-2216
(801) 294-0578
Mailing address
PO BOX 987, KAYSVILLE, UT 84037-0987
(801) 860-1106
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6437871-3904
UT
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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