DAVID FULTON QUACKENBUSH

OGDEN, UT
NPI1861718868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  7519891-6009)
Enumeration Date2010-04-15
Last Update Date2010-04-15
Business Address
Mr. DAVID FULTON QUACKENBUSH CPCI
1140 36TH STREET TRISTAN INC. STE 202
OGDEN, UT 84403
Phone number: 801-392-0004
Mailing Address
Mr. DAVID FULTON QUACKENBUSH CPCI
452 17TH ST BEHIND 456
OGDEN, UT 84404-5755
Phone number: 801-856-8906
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