Individual
VERA E. CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1105 S STATE ST, CLEARFIELD, UT 84015-1818
(801) 774-8675
(801) 416-0862
Mailing address
PO BOX 160276, CLEARFIELD, UT 84016-0276
(801) 774-8675
(801) 416-0862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
135164-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000077080
PTAN
UT
Enumeration date
11/13/2006
Last updated
04/29/2008
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