Individual
MIKENNA GIAUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
520 N MARKET PLACE DR STE 200, CENTERVILLE, UT 84014-4904
(801) 934-3373
Mailing address
1606 VINEYARD DR # B, BOUNTIFUL, UT 84010-1398
(480) 662-7757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
10/14/2025
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