Individual
TERRA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
10808 S RIVER FRONT PKWY STE 308, SOUTH JORDAN, UT 84095-5761
(801) 984-6726
(801) 984-4715
Mailing address
10808 S RIVER FRONT PKWY STE 308, SOUTH JORDAN, UT 84095-5761
(801) 984-6726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11501401-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11501401-6009
DOPL
UT
Enumeration date
10/30/2019
Last updated
10/30/2019
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