Individual
LAUREN ALINE LOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCMHC
Contact information
Practice address
10 TRAILSIDE CT, PARK CITY, UT 84060-7435
(435) 901-0071
Mailing address
PO BOX 683891, PARK CITY, UT 84068-3891
(435) 901-0071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7882357-6004
UT
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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