TAIA SOUTHICHACK, ACMHC

ACMHC

Mental Health Counselor

NPI: 1619650983Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

13498101-6009(UT)

Contact & Hours

Address: 64 S 360 E
AMERICAN FORK, UT 84003
Phone: (801) 449-0017

Quick Facts

NPI: 1619650983
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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