Organization
INTENTIONAL FAMILY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN VILLANI JOHNSON LMFT (EXECUTIVE DIRECTORQ)
(801) 860-9627
Entity
Organization
Contact information
Practice address
2936 LAKE MARY DR, SALT LAKE CITY, UT 84121-5331
(801) 860-9627
Mailing address
2936 LAKE MARY DR, SALT LAKE CITY, UT 84121-5331
(801) 860-9627
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
UT
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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