Minuteclinic Diagnostic of Utah, LLC
NPI #1821845751 in West Jordan, Utah
Provider Information
- NPI Number
- 1821845751
- Entity Type
- Organization
- Organization Name
- Minuteclinic Diagnostic of Utah, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 30, 2024
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 7777 S REDWOOD RD
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-5518
- Phone
- (855) 417-2486
Authorized Official
- Name
- DEBORAH PINCINCE
- Title
- ADMINISTRATOR
- Phone
- (401) 770-3813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
| Social Worker - Clinical — Clinical |
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| Susannah Holden, LCSW | |
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| Chelsey Tautkus | |
| Janaka Vander Kooi, LCSW | |
| Tayler Jane Iversen, LCSW |
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