Individual
SARAH PETHERBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
Mailing address
380 CARATOKE HWY, MOYOCK, NC 27958-8623
(252) 232-8086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19230
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/02/2018
Last updated
10/24/2023
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