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Individual

KRISTIN BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
ELLIE MENTAL HEALTH, 3585 N UNIVERSITY AVENUE,, PROVO, UT 84604, PROVO, UT 84604
(801) 797-1111
Mailing address
2717 S 650 W, D208, SPRINGVILLE, UT 84663
(385) 625-8589

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11334836-3904
UT

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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