Individual
ANTHONY EDLEFSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 SKYLINE DR, BRIGHAM CITY, UT 84302-6772
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11699198-6004
UT
Other
Enumeration date
04/10/2024
Last updated
09/11/2024
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