Individual
KRISTA S PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5691 S REDWOOD RD, #16, TAYLORSVILLE, UT 84123-5420
(801) 265-3895
(801) 236-1235
Mailing address
5691 S REDWOOD RD, #16, TAYLORSVILLE, UT 84123-5420
(801) 265-3895
(801) 236-1235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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