Juliet Pack Tietjen, LMFT

NPI #1972195634 in Logan, Utah

Provider Information

NPI Number
1972195634
Entity Type
Individual
Name
Juliet Pack Tietjen, LMFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
LMFT
Enumeration Date
Feb 4, 2021
Last Updated
Feb 4, 2021

Practice Location

Address
2150 N MAIN ST STE 9
City
Logan
State
Utah
ZIP Code
84341-1740
Phone
(435) 554-8647

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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