TIANA MAKAIWA PARK LOUIS

SALT LAKE CITY, UT
NPI1508176769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  127859346004)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: NV  CI0047)
101YP2500X Counselor, Professional
(Licence: CO  0022392)
Enumeration Date2010-10-20
Last Update Date2025-08-06
Business Address
TIANA MAKAIWA PARK LOUIS LCADC, CPC-Intern
3970 S HOWICK ST UNIT B135
SALT LAKE CITY, UT 84107-1491
Phone number: 702-271-9458
Mailing Address
TIANA MAKAIWA PARK LOUIS LCADC, CPC-Intern
3970 S HOWICK ST UNIT B135
SALT LAKE CITY, UT 84107-1491
Phone number: 702-271-9458