NPI 1043461718

Bonita Gray Kolb, LPC

Practitioner Professional Counselor Sandy, UT

Practice location

Address: 8160 Highland Dr Building a, Sandy, UT 84093-6492
Phone: (801) 831-4339

Registered specialties (3)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 313308-6004 (UT)

Other Counselor providers in Utah →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 313308-6004 (UT)

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 313308-6004 (UT)

Registry record

NPI: 1043461718
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2008
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.