SHASTA REBALKIN

OGDEN, UT
NPI1942085022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-08-28
Last Update Date2026-08-26
Business Address
SHASTA REBALKIN
5300 S 500 E STE 6
OGDEN, UT 84405-6955
Phone number: 801-392-0942
Mailing Address
SHASTA REBALKIN
5300 S 500 E STE 6
OGDEN, UT 84405-6955
Phone number: 801-392-0942
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