Raylene Fossum
NPI #1780402149 in Farmington, Utah
Provider Information
- NPI Number
- 1780402149
- Entity Type
- Individual
- Name
- Raylene Fossum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 2, 2024
- Last Updated
- Oct 2, 2024
Practice Location
- Address
- 1361 N 1075 W STE 14
- City
- Farmington
- State
- Utah
- ZIP Code
- 84025-2876
- Phone
- (385) 316-7127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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