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General NPI Number Information
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NPI Number | 1780259622
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROBERT DRIESSEN LMFT
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Gender | Male
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 474 W 200 N # 300
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City | SAINT GEORGE
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State | UT
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Zip | 84770-4505
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Country | US
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Telephone | 435-634-5600
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Fax | 435-986-8700
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Provider Business Mailing Address
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Address Line | 474 W 200 N # 300
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City | SAINT GEORGE
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State | UT
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Zip | 84770-4505
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Country | US
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Telephone | 435-634-5600
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Fax | 435-986-8700
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12322660-3902
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License Number State | UT
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