Individual
TIFFANY HENLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
13552 S 110 W STE 204, DRAPER, UT 84020-2403
(801) 432-0883
Mailing address
758 W VALLEY VIEW WAY, LEHI, UT 84043-2667
(928) 308-6391
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11475315-3904
UT
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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