Individual
REVA C ROSENBAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
1755 N 200 E, LOGAN, UT 84341-1915
(435) 753-6245
(435) 787-9320
Mailing address
1755 N 200 E, LOGAN, UT 84341-1915
(435) 753-6245
(435) 787-9320
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6654227-3902
UT
253J00000X
Foster Care Agency
6654227-3902
UT
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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