Individual provider · Type 1 NPI

Myrna Suzanne Gillis, LAMFT

Marriage & Family Therapist · Provo, UT

NPI number 1356778377 Active

Practice location

1726 Buckley Drive
Provo, UT 84606

Call (801) 373-6562 Map

Fax (801) 375-9225

Mailing address

857 East 200 South
Salt Lake City, UT 84102

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X104100000X (UT)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1356778377

Myrna Suzanne Gillis, LAMFT's National Provider Identifier is 1356778377, issued on Oct 4, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Provo, UT. The record was last updated on Jan 24, 2017.