Individual
TRACEY LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 S MAIN ST, RICHFIELD, UT 84701-2699
(435) 896-5236
(435) 896-9584
Mailing address
255 W MAIN ST, MOUNT PLEASANT, UT 84647-1331
(435) 462-2416
(435) 462-9350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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