Individual
KATIE GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
384 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 901-0279
Mailing address
377 E 60 S LOWR UNIT, AMERICAN FORK, UT 84003-3835
(801) 500-0576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10113484-3902
UT
106H00000X
Marriage & Family Therapist
Primary
10113484-3902
UT
Other
Enumeration date
09/24/2019
Last updated
07/25/2022
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