Individual
EMILY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 S 5600 W, WEST VALLEY CITY, UT 84120-4634
(385) 646-5360
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10900302-6009
UT
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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