Provider Demographics
NPI:1386725174
Name:SPRINGER, KRISTIN ARAGON
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ARAGON
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2059 N 850 E
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2931
Mailing Address - Country:US
Mailing Address - Phone:435-720-3208
Mailing Address - Fax:435-723-4851
Practice Address - Street 1:663 W 950 S
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-3021
Practice Address - Country:US
Practice Address - Phone:435-734-9449
Practice Address - Fax:435-723-4851
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT48906033501101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor