Individual
EMILY JANE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
481 E 1000 S STE D, PLEASANT GROVE, UT 84062-3716
(801) 899-2559
Mailing address
481 E 1000 S STE D, PLEASANT GROVE, UT 84062-3716
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13017267-3904
UT
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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