Individual
DR. ALYSSA JANE BANFORD WITTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-6767
Mailing address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-6767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8880108-3902
UT
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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