Individual
ALEXANDRA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
130 S MAIN ST STE 119, LOGAN, UT 84321-5387
(385) 312-9844
Mailing address
30 FAIRWAY LN, LOGAN, UT 84321-5942
(734) 589-7954
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11603442-3904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11603442-3904
STATE OF UTAH ASSOCIATE MARRIAGE AND FAMILY THERAPY LICENSE
UT
Enumeration date
01/05/2022
Last updated
01/05/2022
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