# KMK FAMILY SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184127144
- **Authorized official:** KATHLEEN KALOUDIS CMHC (PRESIDENT)
- **Authorized official phone:** (801) 201-7050

## Contact information

- **Practice address:** 5620 S WATERBURY WAY STE A206, SALT LAKE CITY, UT 84121-6206
- **Practice address phone:** (801) 201-7050
- **Practice address fax:** (801) 274-0411
- **Mailing address:** PO BOX 17864, SALT LAKE CITY, UT 84117-0864
- **Mailing address phone:** (801) 201-7050
- **Mailing address fax:** (801) 274-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 6521299-6004 | UT | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018