Individual
EMILEE HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1821 N 1120 W, PROVO, UT 84604-1180
(801) 876-0610
Mailing address
480 E 1864 S, OREM, UT 84058-8154
(480) 240-8695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12904020-6004
UT
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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