Individual
PATRICIA ANN DIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1893 E SKYLINE DR STE 110, OGDEN, UT 84403-5296
(801) 829-1513
Mailing address
1893 E SKYLINE DR STE 110, OGDEN, UT 84403-5296
(801) 829-1513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2214596009
UT
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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