Individual
EMILY JEAN HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8151
Mailing address
4536 BARCLAY DR, ATLANTA, GA 30338-7145
(770) 458-8711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11039527-6004
UT
101YP2500X
Professional Counselor
LPC008224
GA
Other
Enumeration date
11/27/2015
Last updated
05/15/2019
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