TAIA SOUTHICHACK, ACMHC

Counselor - Mental Health

Active Individual
NPI: 1619650983

Practice Address

64 S 360 E
American Fork, UT 84003

Phone: (801) 449-0017

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 13498101-6009 (UT)

Frequently Asked Questions

NPI 1619650983 is the National Provider Identifier for TAIA SOUTHICHACK, ACMHC, a Counselor - Mental Health provider located in American Fork, UT. This NPI was enumerated on August 11, 2023.
TAIA SOUTHICHACK, ACMHC practices at 64 S 360 E, American Fork, UT 84003.

Quick Facts

NPI
1619650983
Type
Individual
Enumerated
Aug 11, 2023
Last Updated
Aug 11, 2023

Nearby Providers