Individual
KARYN COPPOCK TAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 W CENTER ST, OREM, UT 84057-5104
(801) 224-2968
Mailing address
758 W 2100 N, PROVO, UT 84604-1240
(801) 918-9053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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