Individual
LAKEN SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
5801 S FASHION BLVD, MURRAY, UT 84107-6159
(801) 875-2128
Mailing address
273 E MILLPOINT PL, SOUTH SALT LAKE, UT 84115-4734
(801) 503-7129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11106310-6009
UT
Other
Enumeration date
05/07/2019
Last updated
06/11/2019
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