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Organization

KMK FAMILY SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN KALOUDIS CMHC (PRESIDENT)
(801) 201-7050
Entity
Organization

Contact information

Practice address
5620 S WATERBURY WAY STE A206, SALT LAKE CITY, UT 84121-6206
(801) 201-7050
(801) 274-0411
Mailing address
PO BOX 17864, SALT LAKE CITY, UT 84117-0864
(801) 201-7050
(801) 274-0411

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6521299-6004
UT

Other

Enumeration date
03/15/2018
Last updated
03/15/2018
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