Individual
MARY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 E MURRAY HOLLADAY RD STE 103C, HOLLADAY, UT 84117-5185
(801) 602-5636
Mailing address
10273 N YORKSHIRE CIR, HIGHLAND, UT 84003-5646
(801) 602-5636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13407738-6004
UT
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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