Organization
INTENTIONAL FAMILY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN L. VILLANI M.S. , LMFT (EXECUTIVE DIRECTOR)
(801) 352-2000
Entity
Organization
Contact information
Practice address
9160 S OUTH 300 WEST, SUITE 21, SANDY, UT 84070-2655
(801) 352-2000
Mailing address
9160 S 300 W, SUITE 21, SANDY, UT 84070-2655
(801) 352-2000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
59432763902
UT
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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