Individual
HIBA M CHERGOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
165 N 1330 W STE A1, OREM, UT 84057-5116
(702) 498-4557
Mailing address
165 1339 W SUITE A-1, OREM, UT 84057
(702) 498-4557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
129661976009
UT
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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