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Individual

ZACHARY AUTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, CMHC

Contact information

Practice address
350 E 2100 S, SALT LAKE CITY, UT 84115-2266
(801) 251-6454
Mailing address
350 E 2100 S, SALT LAKE CITY, UT 84115-2266
(801) 251-6454

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11692670-6004
UT
101YM0800X
Mental Health Counselor
11692670-6009
UT
101YP2500X
Professional Counselor
11692670-6009
UT

Other

Enumeration date
11/09/2016
Last updated
04/27/2025
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