Provider Demographics
NPI:1881805760
Name:CHRISTIAN-STOKER, JALANE (LMFT)
Entity type:Individual
Prefix:MS
First Name:JALANE
Middle Name:
Last Name:CHRISTIAN-STOKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:
Mailing Address - City:NEW HARMONY
Mailing Address - State:UT
Mailing Address - Zip Code:84757-0657
Mailing Address - Country:US
Mailing Address - Phone:435-590-5728
Mailing Address - Fax:435-867-1502
Practice Address - Street 1:1061 S 500 E
Practice Address - Street 2:
Practice Address - City:NEW HARMONY
Practice Address - State:UT
Practice Address - Zip Code:84757
Practice Address - Country:US
Practice Address - Phone:435-590-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5134658-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist