Organization
WOODHAVEN AT MILLCREEK PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY WICKERSHAM CMHC (OWNER)
(801) 712-1441
Entity
Organization
Contact information
Practice address
1398 E LUCK LN, MILLCREEK, UT 84106-2944
(801) 712-1441
Mailing address
1398 E LUCK LN, MILLCREEK, UT 84106-2944
(801) 712-1441
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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