Individual
IVY CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4924 W DESERT SAGE DR, HERRIMAN, UT 84096-3436
(801) 906-1074
Mailing address
4924 W DESERT SAGE DR, HERRIMAN, UT 84096-3436
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
122600593902
UT
Other
Enumeration date
01/20/2023
Last updated
10/30/2023
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