Individual
EMILY LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
1152 SUMMIT RIDGE PKWY, SANTAQUIN, UT 84655-4623
(385) 224-9664
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10504164-6009
UT
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2015
Last updated
09/17/2024
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