person
Mr. David Fulton Quackenbush, CPCI
Mental Health Counselor in Ogden, Utah
NPI 1861718868

David Fulton Quackenbush is a Mental Health Counselor based in Ogden, UT and is specialized in Mental Health. David Fulton Quackenbush practices in Ogden, UT and has the professional credentials of CPCI. The NPI Number for David Fulton Quackenbush is 1861718868 and holds a License No. 7519891-6009 (Utah).

The current practice location address for David Fulton Quackenbush is 1140 36Th Street Tristan Inc., Ogden, UT and can be reached out via phone at 801-392-0004 and via fax at 801-392-2618.

Location: 1140 36Th Street Tristan Inc., Ogden, UT, 84404-5755
person
Provider Profile Details
NPI Number
1861718868
Provider Name
David Fulton Quackenbush
Credential
CPCI
Provider Entity Type
Individual
Gender
Male
Address
1140 36Th Street Tristan Inc., Ogden, UT, 84404-5755
Phone Number
801-392-0004
Fax Number
801-392-2618
Provider Enumeration Date
04/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1140 36Th Street Tristan Inc.
City
State
Zip
84403
Phone Number
801-392-0004
Fax Number
801-392-2618
person
Provider Business Mailing Address Details
Address
1140 36Th Street Tristan Inc.
City
State
Zip
84403
Phone Number
801-392-0004
Fax Number
801-392-2618
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7519891-6009 (Utah)
Definition
Definition to come...
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