Individual
KEVIN SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2545 N CANYON RD, #210, PROVO, UT 84604-5911
(801) 224-2525
Mailing address
2545 N CANYON RD, #210, PROVO, UT 84604
(801) 224-2525
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5014163902
UT
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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