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Grayden Hollister

Counselor in Ogden, UT. Individual provider (NPI-1).

NPI number1164079612
StatusActive
Last updated in NPPESAug 20, 2019

Details

NPI
1164079612
Entity type
Individual (NPI-1)
Name
Grayden Hollister
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 20, 2019
Last updated
Aug 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

237 26th St
Ogden, UT 84401-3105

Phone 801-625-3700

Mailing address

237 26th St
Ogden, UT 84401-3105

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