Individual
AMANDA KOCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
5500 W BAGLEY PARK RD, WEST JORDAN, UT 84081-5697
(801) 513-3125
Mailing address
5500 W BAGLEY PARK RD, WEST JORDAN, UT 84081-5697
(801) 513-3125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11899068-6009
UT
Other
Enumeration date
11/05/2020
Last updated
12/20/2024
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