Individual
MARLEY JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
18406 W WHITE QUEST DR, EAGLE MOUNTAIN, UT 84013-9701
(801) 335-4699
Mailing address
13417 S AINTREE AVE, DRAPER, UT 84020-8887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12384075-6004
UT
Other
Enumeration date
07/11/2022
Last updated
09/18/2023
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