Organization
YOUTH EMPOWERMENT PROJECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLY J. LANDIKUSIC LMFT (OWNER)
(801) 604-1134
Entity
Organization
Contact information
Practice address
1383 S 900 W, SALT LAKE CITY, UT 84104-1603
(801) 604-1134
(801) 649-0964
Mailing address
PO BOX 12871, OGDEN, UT 84412-2871
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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