Individual
TANYA DORIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1459 N MAIN ST, BOUNTIFUL, UT 84010-6092
(801) 298-2000
Mailing address
1459 N MAIN ST, BOUNTIFUL, UT 84010-6092
(801) 298-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12314749-3502
UT
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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