Individual
REBECCA SHOFF CRIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1361 N 1075 W, FARMINGTON, UT 84025-2750
(801) 373-4760
Mailing address
50 COUNTY ROAD 433, THRALL, TX 76578-8518
(352) 484-4023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9247402-3902
UT
106H00000X
Marriage & Family Therapist
9247402-3902
UT
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/22/2023
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