Individual provider · Type 1 NPI

Dale Eborn

Counselor · Marysvale, UT

NPI number 1477868354 Active

Practice location

8500 S. Ten Mile Rd
Marysvale, UT 84750

Fax (435) 326-4313

Specialties and licenses

TaxonomyCodeLicense
Foster Care Agency 253J00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1477868354

Dale Eborn's National Provider Identifier is 1477868354, issued on Aug 16, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Marysvale, UT. The record was last updated on Aug 24, 2010.