Individual
DEANN ELLSWORTH KETTENRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
104 W MEDICAL DR STE 1, SARATOGA SPRINGS, UT 84045-3191
(801) 955-3600
(801) 955-3600
Mailing address
104 W MEDICAL DR STE 1, SARATOGA SPRINGS, UT 84045-3191
(801) 955-3600
(801) 955-3600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9152364-6009
UT
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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