Individual
KAITLIN HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3280 W 3500 S STE E, WEST VALLEY, UT 84119-2668
(801) 651-0749
Mailing address
3280 W 3500 S STE E, WEST VALLEY, UT 84119-2668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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