Individual
MICAH INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3082 W MAPLE LOOP DR STE 200, LEHI, UT 84043-5797
(385) 254-3522
Mailing address
3082 W MAPLE LOOP DR STE 200, LEHI, UT 84043-5797
(385) 254-3522
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9534465-3904
UT
Other
Enumeration date
08/31/2015
Last updated
09/18/2023
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