Doctor Name: | MRS. LOUISE BELNAP JORGENSEN |
NPI Number: | 1821280280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 7084541-2504 |
Business Practice Address: | 94 E Pages Ln #a Centerville, UT - 840142216 |
Business Phone Number: | 8012940578 |
Business Fax Number: | 8012982147 |
Mailing Address: | 1126 Sunset Dr, KAYSVILLE |
State: | UT |
Postal Code: | 840379683 |
Phone Number: | 8015460825 |
Fax Number: | 8015462313 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 07/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 7084541-2504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |