Individual
DONNELL MARIE JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(435) 283-8401
Mailing address
125 S STATE ST, MT PLEASANT, UT 84647-1563
(435) 283-8400
(435) 283-8401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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