Organization
CARBAJAL KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CARBAJAL LMFT, RPT-S (OWNER/CLINICAL DIRECTOR)
(801) 989-3488
Entity
Organization
Contact information
Practice address
5617 SOUTH 1475 EAST, SOUTH OGDEN, UT 84403-4572
(801) 989-3488
Mailing address
5617 SOUTH 1475 EAST, SOUTH OGDEN, UT 84403-4572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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