Individual
KIMBERLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1175 E 3200 N, LEHI, UT 84043-5464
(385) 352-3738
Mailing address
121 W 640 N, AMERICAN FORK, UT 84003-1579
(801) 376-9293
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
52048383902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5204838-3902
DOPL
UT
Enumeration date
05/04/2010
Last updated
04/13/2022
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