Individual
MARTIE TAMASHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
145 S 200 E, LINDON, UT 84042-2047
(801) 784-9455
Mailing address
2817 W SHADY HOLLOW LN, LEHI, UT 84043-5715
(801) 597-7056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5836003-6009
UT
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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