Individual
CRYSTAL JEAN APPLEGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1196 W SOUTH JORDAN PKWY, STE D, SOUTH JORDAN, UT 84095-4603
(801) 702-0427
Mailing address
11251 S STATE ST, APT A207, SANDY, UT 84070-5163
(801) 702-0427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9838225-6004
UT
Other
Enumeration date
04/10/2014
Last updated
03/20/2017
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