Individual
MS. MARTHA LARAINE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5242 S 4820 W, SALT LAKE CITY, UT 84118-6422
(801) 966-4251
(801) 966-4289
Mailing address
5242 S 4820 W, SALT LAKE CITY, UT 84118-6422
(801) 966-4251
(801) 966-4289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
279317-6004
UT
Other
Enumeration date
01/03/2006
Last updated
05/19/2008
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