Individual
ALEXIS IZATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 5600 S STE 200, SALT LAKE CITY, UT 84107-8158
(385) 346-0031
Mailing address
16255 VENTURA BLVD STE 830, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14240290-6009
UT
106S00000X
Behavior Technician
—
—
221700000X
Art Therapist
25-542
—
Other
Enumeration date
03/10/2025
Last updated
10/13/2025
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