Individual provider · NPI-1
Stephanie Carbajal, LMFT, RPT
Marriage & Family Therapist · Kaysville, UT
NPI number1114186202
StatusActive
Last updated in NPPESSep 18, 2021
Details
- NPI
- 1114186202
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stephanie Carbajal
- Credential
- LMFT, RPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2008
- Certification date
- Sep 18, 2021
- Last updated
- Sep 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 6726981-3902 | UT | Yes |
Practice location
375 N Main St Ste 102Kaysville, UT 84037-1272
Phone 801-989-3488 · Fax 801-989-5861
Mailing address
375 N Main St Ste 102Kaysville, UT 84037-1272
Phone 801-989-3488 · Fax 801-989-5861
Other practice locations
2317 N Hill Field Rd Ste 103
Layton, UT 84041-4782
Layton, UT 84041-4782
Phone 801-989-3488 · Fax 801-989-5861
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