Individual
KEVIN VAN MIDDELBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
7025 S PARK CENTRE DR, COTTONWOOD HEIGHTS, UT 84121-6619
(385) 548-1925
Mailing address
PO BOX 271102, SALT LAKE CITY, UT 84127-1102
(760) 527-2269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
06/22/2024
Last updated
04/12/2026
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