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Individual

KATIE LANDGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACMHC

Contact information

Practice address
1355 N MAIN ST STE 1, BOUNTIFUL, UT 84010-5982
(385) 424-0712
Mailing address
1335 N 640 W, WEST BOUNTIFUL, UT 84087-1251

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14201974-6009
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/18/2024
Last updated
01/25/2025
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