Individual
SHANNON RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
111 E 5600 S STE 105, MURRAY, UT 84107-8155
(801) 695-9955
Mailing address
9752 S KATO DR, SOUTH JORDAN, UT 84095-1237
(801) 643-2422
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8358035-3902
UT
Other
Enumeration date
10/19/2017
Last updated
07/02/2024
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