Individual
KRISTINE LOUISE LUBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
(801) 646-5160
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
(801) 646-5160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
346117-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107026648101
INTERMOUNTAIN HEALTH CARE
UT
01
—
346117600400001
BLUE CROSS
UT
01
—
827412
DESERET MUTUAL
UT
01
—
942938348LUB
EDUCATORS MUTUAL
UT
Enumeration date
01/19/2006
Last updated
01/11/2021
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