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
1	101YM0800X	Mental Health Counselor	14229349-6009	UT

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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