Individual
MRS. LAURA JANEEN DA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1206 W SOUTH JORDAN PKWY STE D, SOUTH JORDAN, UT 84095-5519
(801) 403-7345
Mailing address
14214 PALO ALTO DR, HERRIMAN, UT 84096-5580
(801) 859-1857
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5805169-6004
UT
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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