Individual
MYRNA JARVIS MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
5667 S REDWOOD RD, TAYLORSVILLE, UT 84123-5433
(801) 979-1351
(801) 979-1351
Mailing address
220 N STATE ST, LINDON, UT 84042-1827
(801) 427-3052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
UT
Enumeration date
08/10/2017
Last updated
06/16/2018
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