Individual
LUCA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 477-0532
(801) 623-4771
Mailing address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 477-0532
(801) 623-4771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8342806-6009
UT
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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