Individual
KRISTINA MORIAH MACCAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC, ATR-P
Contact information
Practice address
940 E SOUTH UNION AVE, MIDVALE, UT 84047-2302
(385) 346-0031
Mailing address
105 PARKVIEW TER, PARK CITY, UT 84098-5106
(616) 550-3533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14086952-6009
UT
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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