Individual
MRS. CIERRA RENEE COLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1325 S 1100 E, SALT LAKE CITY, UT 84105-2420
(863) 640-0087
Mailing address
1325 S 1100 E, SALT LAKE CITY, UT 84105-2420
(863) 640-0087
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12364099-3202
UT
Other
Enumeration date
01/08/2018
Last updated
05/14/2024
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