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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HOLLY PACK SQUIRES, LMFT

Active Sole Proprietor

HOLLY PACK SQUIRES, LMFT is a Marriage & Family Therapist healthcare provider located in SOUTH JORDAN, Utah. NPI 1861942864 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SOUTH JORDAN, UT

Registration Details

NPI Number
1861942864
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2016 (9.7917150493567 yrs)
Last Updated
Oct 13, 2016
License
9162614-3902 (UT)
Sole Proprietor
Yes

Practice Information

Address
1258 W SOUTH JORDAN PKWY
SUITE 202
SOUTH JORDAN, UT, 840954711
Browse UT providers · Browse ZIP 84095
Phone
8012551155
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in SOUTH JORDAN, UT

Name Credential NPI
DR. VEON SMITH JR. D.S.W. 1093745184
MR. RANDY RAY JOHNSON 1114043072
MR. OSCAR ALFREDO AQUINO AMFT 1356567655
DR. RICHARD LAWRENCE FRANK PH.D. 1184868846
TANYA RADOMSKI LMFT 1922301001
ANTHONY T. ALONZO MS, LMFT, CFLE 1417249921
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.