Individual provider · Type 1 NPI
Raylene Fossum
Mental Health Counselor · Farmington, UT
NPI number
1780402149
Active
Practice location
1361 N 1075 W Ste 14
Farmington, UT 84025-2876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1780402149
Raylene Fossum's National Provider Identifier is 1780402149, issued on Oct 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington, UT. The record was last updated on Oct 2, 2024.