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Individual

PROF. ANNETTE MILNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SUDC, CMHC

Contact information

Practice address
2558 S 900 E STE B, SALT LAKE CITY, UT 84106-2239
(801) 759-1540
(801) 906-8047
Mailing address
3975 S HIGHLAND DR, HOLLADAY, UT 84124-1769
(801) 759-1540
(801) 906-8047

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6000064-6006
UT
101YM0800X
Mental Health Counselor
Primary
6000064-6009
UT

Other

Enumeration date
02/09/2011
Last updated
07/02/2014
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