Individual
MRS. DENISE LAROUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
3864 W GARONNE AVE, WEST JORDAN, UT 84084-1927
(801) 209-9369
Mailing address
3864 W GARONNE AVE, WEST JORDAN, UT 84084-1927
(801) 209-9369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6138472-6004
UT
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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