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Individual

KAMMY LEA YORGASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACMHC

Contact information

Practice address
1141 E 3900 S STE A170, SLC, UT 84124-1250
(888) 949-4864
Mailing address
1141 E 3900 S STE A170, SLC, UT 84124-1250

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7767893-6009
UT
101YM0800X
Mental Health Counselor
Primary
UT

Other

Enumeration date
08/14/2018
Last updated
12/03/2020
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