Individual
HOLLY MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 HARRISON BLVD STE 100, OGDEN, UT 84403-1271
(801) 393-3113
Mailing address
4432 SUNRISE DR, EDEN, UT 84310-6801
(678) 761-5075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760788285
—
UT
Enumeration date
06/15/2018
Last updated
06/15/2018
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