Individual
ALYSSA THACKERAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1858 W 5150 S STE 504, ROY, UT 84067-3064
(801) 255-5131
Mailing address
PO BOX 376, HENEFER, UT 84033-0376
(435) 659-4851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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