Individual
TAYA RAE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 LAKEVIEW DR, GARDEN CITY, UT 84028-0264
(435) 757-6207
Mailing address
PO BOX 264, GARDEN CITY, UT 84028-0264
(435) 757-6207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14202810-6009
UT
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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