Individual
MACKENZIE GAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S MAIN ST STE 100, SALT LAKE CITY, UT 84101-3194
(888) 949-4864
Mailing address
3737 W 4100 S, WEST VALLEY CITY, UT 84120-5543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14251891-6006
UT
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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