Individual
WENDY LYNN REIERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(435) 843-3520
(435) 843-3555
Mailing address
1035 N MAIN ST, CENTERVILLE, UT 84014-1610
(801) 828-8102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7280771-6004
UT
101YM0800X
Mental Health Counselor
Primary
7280771-6009
UT
Other
Enumeration date
06/21/2010
Last updated
07/23/2012
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