Individual
MAKENNA ANNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 S STATE ST, OREM, UT 84058-6366
(801) 426-6565
(801) 426-6464
Mailing address
9894 N YORKSHIRE CT, HIGHLAND, UT 84003-3477
(801) 857-5450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11610721-6014
UT
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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