Individual
MICHELLE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
135 W CENTER ST, PLEASANT GROVE, UT 84062-2207
(801) 785-1169
Mailing address
135 W CENTER ST, PLEASANT GROVE, UT 84062-2207
(801) 785-1169
(801) 785-1154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10790824-6009
UT
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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