Ivana Micic
Ivana Micic is a Mental Health Counselor in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
150 E 700 S Project RealitySalt Lake City, UT 84111-3806
Phone: (801) 364-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 9424937-3501 (UT) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
Record details
| NPI number | 1801238431 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 24, 2013 |
| Last updated in NPPES | June 22, 2022 |
| Certification date | June 22, 2022 |
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