SearchUtah101YM0800X

Taia Southichack, ACMHC

NPI 1619650983 · on the registry since 2023

Practice

Address
64 S 360 E
American Fork, UT 84003
Phone
(801) 449-0017
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah