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Adrienne Lowden Dejager, ACMHC
Mental Health Counselor in Provo, Utah
NPI 1245792167

Adrienne Lowden Dejager is a Mental Health Counselor based in Provo, UT and is specialized in Mental Health. Adrienne Lowden Dejager practices in Provo, UT and has the professional credentials of ACMHC. The NPI Number for Adrienne Lowden Dejager is 1245792167 and holds a License No. 11094505-6009 (Utah).

The current practice location address for Adrienne Lowden Dejager is 314 S 1350 E, Provo, UT and can be reached out via phone at 801-623-2828.

Location: 314 S 1350 E, Provo, UT, 84606-5318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245792167
Provider Name
Adrienne Lowden Dejager
Credential
ACMHC
Provider Entity Type
Individual
Gender
Female
Address
314 S 1350 E, Provo, UT, 84606-5318
Phone Number
801-623-2828
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
314 S 1350 E
City
Provo
State
Utah
Zip
84606-5318
Phone Number
801-623-2828
Fax Number
person
Provider Business Mailing Address Details
Address
314 S 1350 E
City
Provo
State
Utah
Zip
84606-5318
Phone Number
801-623-2828
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11094505-6009 (Utah)
Definition
Definition to come...
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