Individual
TAMARA MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
3195 S MAIN ST STE 180, SOUTH SALT LAKE, UT 84115-3790
(801) 983-5540
(801) 983-5542
Mailing address
PO BOX 521207, SALT LAKE CITY, UT 84152-1207
(801) 983-5540
(801) 983-5542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5459608-6004
UT
Other
Enumeration date
05/21/2007
Last updated
09/30/2021
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