Individual provider · Type 1 NPI

Taia Southichack, ACMHC

Mental Health Counselor · American Fork, UT

NPI number 1619650983 Active

Practice location

64 S 360 E
American Fork, UT 84003-2590

Call (801) 449-0017 Map

Mailing address

452 N 625 W
Clearfield, UT 84015-3859

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X13498101-6009 (UT)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1619650983

Taia Southichack, ACMHC's National Provider Identifier is 1619650983, issued on Aug 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in American Fork, UT. The record was last updated on Aug 11, 2023.