Individual
AMY OLSEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1208 E 3300 S, SALT LAKE CITY, UT 84106-2522
(801) 483-1600
(801) 483-1610
Mailing address
470 DORTHEA WAY, NORTH SALT LAKE, UT 84054-1619
(801) 831-8705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9526130-6004
UT
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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