Individual
ANNICKA GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 E 820 N, OREM, UT 84097-5481
(801) 477-0041
Mailing address
363 E 1600 S, MAPLETON, UT 84664-5204
(801) 491-3337
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
142231493904
UT
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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