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Individual

AUTUMN M IVERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
322 E GATEWAY DR STE 103-3, HEBER CITY, UT 84032-4610
(385) 412-1112
Mailing address
503 S 300 E, MIDWAY, UT 84049-1305
(801) 735-9967

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
UT

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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