Individual
SASHA LOUTENSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC INTERN
Contact information
Practice address
2655 S LAKE ERIE DR STE B, WEST VALLEY, UT 84120-7351
(385) 441-4900
Mailing address
100 COTTAGE GATE LANE, ROSWELL, GA 30076
(801) 503-6368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13389638-6004
UT
101YM0800X
Mental Health Counselor
Primary
INTERN
—
101YP2500X
Professional Counselor
Primary
LPC016756
GA
Other
Enumeration date
03/23/2022
Last updated
05/07/2026
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