Individual
KAITLIN HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
613 E FORT UNION BLVD STE 104, MIDVALE, UT 84047-5531
(801) 984-1717
(801) 984-1720
Mailing address
613 E FORT UNION BLVD STE 104, MIDVALE, UT 84047-5531
(801) 984-1717
(801) 984-1720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
11/27/2025
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