Individual
MARTHA KATALIN WYLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
7069 S HIGHLAND DR STE 115, COTTONWOOD HEIGHTS, UT 84121-3731
(801) 231-0946
Mailing address
7069 S HIGHLAND DR STE 115, COTTONWOOD HEIGHTS, UT 84121-3731
(801) 231-0946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11829498-6004
UT
Other
Enumeration date
07/11/2020
Last updated
09/09/2021
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