Individual
HOLLY H LINEBACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPCI
Contact information
Practice address
8184 HIGHLAND DR, SANDY, UT 84093-6477
(801) 944-1666
Mailing address
2977 S 1400 E, SALT LAKE CITY, UT 84106-3474
(801) 486-4685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5072655-6009
UT
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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