Individual
PHYLLIS M TRONRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
1407 N 2000 W, SUITE D, CLINTON, UT 84015-8562
(801) 971-5550
Mailing address
1407 N 2000 W, SUITE D, CLINTON, UT 84015-8562
(801) 971-5550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6818930-6004
UT
101YP2500X
Professional Counselor
Primary
6818930-6004
UT
Other
Enumeration date
12/10/2007
Last updated
05/02/2016
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