Individual
ALECC QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3375 HARRISON BLVD, OGDEN, UT 84403-1228
(801) 621-3901
Mailing address
597 QUINN CT, OGDEN, UT 84404-4596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7437692-6009
UT
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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