Individual
MRS. ILONA KAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4725 KAITLYN ANN CIR, MURRAY, UT 84123-3472
(561) 716-3745
Mailing address
4725 KAITLYN ANN CIR, MURRAY, UT 84123-3472
(561) 716-3745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH2400
FL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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