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NPI Code Detail

MEDICARE: MRS. ANNETTE PROBST L.P.C.

MEDICARE:  MRS. ANNETTE  PROBST  L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor27850756004UT

General Provider Information

NPI Number : 1689892515
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNETTE PROBST L.P.C.
Provider Business Mailing Address
First Line : 1375 S DANIELS RD
Second Line : SUITE # 2
City : HEBER CITY
State : UT
Zip : 84032-3864
Country : US
Telephone Number : 435-654-3181
Fax Number : 435-654-3299
Provider Business Practice Location Address
First Line : 1375 S DANIELS RD
Second Line : SUITE # 2
City : HEBER CITY
State : UT
Zip : 84032-3864
Country : US
Telephone Number : 435-654-3181
Fax Number : 435-654-3299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ANNETTE PROBST L.P.C.” Practice Location

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