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NPI Code Detail

MEDICARE: ELIN ISAKSON

MEDICARE: ELIN ISAKSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor14229349-6009UT

General Provider Information

NPI Number : 1689533739
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIN ISAKSON
Provider Business Mailing Address
First Line : 7070 S UNION PARK AVE STE 150
Second Line :
City : MIDVALE
State : UT
Zip : 84047-6043
Country : US
Telephone Number : 801-405-7450
Fax Number : 385-446-2650
Provider Business Practice Location Address
First Line : 7070 S UNION PARK AVE STE 150
Second Line :
City : MIDVALE
State : UT
Zip : 84047-6043
Country : US
Telephone Number : 801-405-7450
Fax Number : 385-446-2650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ ELIN ISAKSON ” Practice Location

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