Individual
DANIELLE LEE BIVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 RSI DR, LOGAN, UT 84321-2203
(503) 523-6165
Mailing address
639 LEGEND DR, LOGAN, UT 84321-7705
(503) 523-6165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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