Individual
TAYLOR MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3549 N UNIVERSITY AVE STE 200, PROVO, UT 84604-4417
(385) 448-0310
Mailing address
3549 N UNIVERSITY AVE STE 200, PROVO, UT 84604-4417
(385) 448-0310
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9132078-3902
UT
106H00000X
Marriage & Family Therapist
9132078-3904
UT
Other
Enumeration date
11/07/2016
Last updated
10/03/2024
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