Organization
MOUNTAIN LAND FAMILY THERAPY CLINICS LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDERSON PT (PRESIDENT)
(801) 942-3311
Entity
Organization
Contact information
Practice address
3570 W 9000 S, SUITE 120, W JORDAN, UT 84088-8874
(801) 561-8888
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/24/2006
Last updated
09/11/2025
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