MADISEN ELISE BUSENBARK

SOUTH JORDAN, UT
NPI1447841283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: UT  12086440-3904)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: UT  12086440-3904)
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
MADISEN ELISE BUSENBARK
10432 S 4000 W STE B105
SOUTH JORDAN, UT 84009-5729
Phone number: 435-610-1676
Mailing Address
MADISEN ELISE BUSENBARK
5094 E BIG SKY WAY
EAGLE MOUNTAIN, UT 84005-4878
Phone number: 435-256-0056