Individual
LETICIA HAACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
Mailing address
4052 WEST 3390 SOUTH, SUITE 105, WEST VALLEY CITY, UT 84120
(801) 964-3111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8283071-3501
UT
1041C0700X
Clinical Social Worker
Primary
8283071-3501
UT
Other
Enumeration date
08/11/2011
Last updated
07/19/2023
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