Individual
MIKE KAARE KLITGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
503 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 251-6431
Mailing address
PO BOX 540032, NORTH SALT LAKE, UT 84054-0032
(801) 251-6431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13241563-6004
UT
101YM0800X
Mental Health Counselor
Primary
13241563-6009
UT
Other
Enumeration date
05/22/2023
Last updated
10/24/2024
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