Organization
CHRISTOFFERSEN PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA KAY CHRISTOFFERSEN (SOLE OWNER)
(435) 272-2861
Entity
Organization
Contact information
Practice address
437 S BLUFF ST STE 202, ST GEORGE, UT 84770-3555
(435) 272-2861
(435) 674-9380
Mailing address
3764 HOLLAND CIR, SANTA CLARA, UT 84765-5377
(435) 272-2861
(435) 275-2887
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7752010-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649283003
—
UT
Enumeration date
02/28/2011
Last updated
05/09/2011
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