Organization
ROOTED PSYCHOTHERAPY; PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA DIETZ CMHC (OWNER)
(801) 683-1160
Entity
Organization
Contact information
Practice address
12441 S 900 E # 170, DRAPER, UT 84020-9807
(801) 683-1160
Mailing address
10246 S SAMUEL HOLT DR, SOUTH JORDAN, UT 84095-8840
(801) 440-7177
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
8020295-6004
UT
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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