Individual
TRACY HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
10432 S 4000 W STE B, SOUTH JORDAN, UT 84009-5729
(720) 243-3512
(801) 905-6411
Mailing address
10949 S KESTREL RISE RD, SOUTH JORDAN, UT 84009-6216
(720) 243-3512
(801) 302-7248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10865116-6004
UT
Other
Enumeration date
02/15/2008
Last updated
01/27/2020
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