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Organization

KE THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHADIJA TAHIRA EWALT LMHC (MENTAL HEALTH COUNSELOR)
(435) 572-0340
Entity
Organization

Contact information

Practice address
168 E COLLEGE AVE UNIT C, CEDAR CITY, UT 84720-3369
(435) 572-0340
Mailing address
168 E COLLEGE AVE UNIT C, CEDAR CITY, UT 84720-3369
(435) 572-0340

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/24/2025
Last updated
05/06/2025
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