Individual
DR. STEPHEN KIURI GITONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., ACS, LCMHC
Contact information
Practice address
5667 S REDWOOD RD UNIT 6B, TAYLORSVILLE, UT 84123-5495
(801) 979-1351
Mailing address
5698 S FAIRWOOD DR APT 30, TAYLORSVILLE, UT 84129-3844
(312) 731-8751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8059473-6004
UT
101YP2500X
Professional Counselor
0988
KY
101YP2500X
Professional Counselor
3440
ID
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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