Taia Southichack, ACMHC
NPI #1619650983 in American Fork, Utah
Provider Information
- NPI Number
- 1619650983
- Entity Type
- Individual
- Name
- Taia Southichack, ACMHC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- ACMHC
- Enumeration Date
- Aug 11, 2023
- Last Updated
- Aug 11, 2023
Practice Location
- Address
- 64 S 360 E
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-2590
- Phone
- (801) 449-0017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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