Myrna Suzanne Gillis, LAMFT
Marriage & Family Therapist in Provo, UT. Individual provider (NPI-1).
NPI number1356778377
StatusActive
Last updated in NPPESJan 24, 2017
Details
- NPI
- 1356778377
- Entity type
- Individual (NPI-1)
- Name
- Myrna Suzanne Gillis
- Credential
- LAMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2013
- Last updated
- Jan 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 104100000X | UT | Yes |
Practice location
1726 Buckley DriveProvo, UT 84606
Phone 801-373-6562 · Fax 801-375-9225
Mailing address
857 East 200 SouthSalt Lake City, UT 84102
Phone 801-487-3276 · Fax 801-467-3725
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All 126 Marriage & Family Therapist providers in Provo · All 6,098 providers in Provo
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