Individual
MS. ALEXIS ELIZABETH FACKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 N 1200 W, OREM, UT 84057-2449
(801) 655-5450
Mailing address
1447 N 1200 W, OREM, UT 84057
(018) 655-5450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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