Individual
AMY LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1325 N MAIN ST STE 3, BOUNTIFUL, UT 84010-6090
(425) 577-4855
Mailing address
PO BOX 986, MIDVALE, UT 84047-0982
(385) 519-6784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12287888-6004
UT
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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