Individual provider · Type 1 NPI

Ivana Micic

Mental Health Counselor · Salt Lake City, UT

NPI number 1801238431 Active

Practice location

150 E 700 S, Project Reality
Salt Lake City, UT 84111-3806

Call (801) 364-8080 Map

Mailing address

166 E Coatsville Ave
Salt Lake City, UT 84115-1925

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9424937-3501 (UT)
Clinical Social Worker 1041C0700XNone listed

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About NPI 1801238431

Ivana Micic's National Provider Identifier is 1801238431, issued on Jul 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 22, 2022.