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Clinton Richard Chidester, PhD

Marriage & Family Therapist in Bountiful, UT. Individual provider (NPI-1).

NPI number1033308317
StatusActive
Last updated in NPPESOct 23, 2007

Details

NPI
1033308317
Entity type
Individual (NPI-1)
Name
Clinton Richard Chidester
Credential
PhD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 23, 2007
Last updated
Oct 23, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist1121493902UTYes

Practice location

96 North 500 West
Bountiful, UT 74010-2840

Phone 801-698-8755

Mailing address

790 East 550 North
Bountiful, UT 84010-2840

Phone 801-698-8755

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