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General NPI Number Information
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NPI Number | 1518115328
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Entity Type | Individual
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Provider Name | AIMEE LYNN MORTENSEN CCMHC, CST, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 3098 W EXECUTIVE PKWY STE 280
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City | LEHI
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State | UT
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Zip | 84048-4949
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Country | US
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Telephone | 801-404-3069
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Fax |
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Provider Business Mailing Address
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Address Line | 3098 W EXECUTIVE PKWY STE 280
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City | LEHI
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State | UT
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Zip | 84048-4949
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Country | US
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Telephone | 801-404-3069
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 54053956009
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5405395-6004
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License Number State | UT
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