Individual provider · Type 1 NPI

Mikenna Giauque, MC

Mental Health Counselor · Centerville, UT

NPI number 1215620802 Active

Practice location

520 N Market Place Dr Ste 200
Centerville, UT 84014-4904

Mailing address

1606 Vineyard Dr # B
Bountiful, UT 84010-1398

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215620802

Mikenna Giauque, MC's National Provider Identifier is 1215620802, issued on May 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centerville, UT. The record was last updated on Oct 14, 2025.