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Individual

YOSHIKO MIYAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CMHC

Contact information

Practice address
3585 N UNIVERSITY AVE BLDG SUITE300, PROVO, UT 84604-6601
(801) 797-1111
(801) 996-0158
Mailing address
3585 N UNIVERSITY AVE BLDG SUITE300, PROVO, UT 84604-6601
(801) 797-1111
(801) 996-0158

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6334403-6004
UT
101YM0800X
Mental Health Counselor
RC00055630
WA

Other

Enumeration date
11/13/2006
Last updated
03/28/2024
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