Individual provider · Type 1 NPI

Juliet Pack Tietjen, LMFT

Marriage & Family Therapist · Logan, UT

NPI number 1972195634 Active

Practice location

2150 N Main St Ste 9
Logan, UT 84341-1740

Call (435) 554-8647 Map

Mailing address

136 Hillside Dr
Smithfield, UT 84335-2540

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X10853173-3902 (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 1972195634

Juliet Pack Tietjen, LMFT's National Provider Identifier is 1972195634, issued on Feb 4, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Logan, UT. The record was last updated on Feb 4, 2021.