Individual
MRS. TERRI ELISE GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
9192 S 300 W STE 23, SANDY, UT 84070-2673
(813) 748-0898
(435) 775-2019
Mailing address
4797 S HUNTLY DR, MURRAY, UT 84107-3780
(813) 748-0898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10977755-6004
UT
101YM0800X
Mental Health Counselor
10977755-6009
UT
Other
Enumeration date
09/13/2018
Last updated
01/31/2022
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