Individual
AUSTIN C HAACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
1406 S CARTERVILLE RD, OREM, UT 84097-7239
(801) 592-2423
Mailing address
1406 S CARTERVILLE RD, OREM, UT 84097-7239
(801) 592-2423
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1201-21695
UT
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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